NPI | 1578088894 |
---|---|
Doing Business As | GLEN BURNIE FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | JENNIFER JEAN STEWART Dentist/Owner 410-760-6699 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 14041) |
Enumeration Date | 2017-08-08 |
Last Update Date | 2019-05-09 |