| NPI | 1528790177 |
|---|---|
| Doing Business As | GROW PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CRAIG LUSTMAN Owner 410-804-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-06-30 |