| NPI | 1558400747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARTLEY THOMAS QUILLIN Owner 410-742-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 10556) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |