| NPI | 1548403843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SUSAN MILES Owner 410-358-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 6704) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-04-16 |