| NPI | 1538292420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CATHERINE TRAHAR President 410-280-2484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 12153) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2017-03-16 |