| NPI | 1538574157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL B LAVINE General Dentist, Owner 410-398-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 15500) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |