| NPI | 1578644787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN R BERKINSHAW President 410-266-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 7658) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |