| NPI | 1578747671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN STOUTE Dentist/Owner 410-721-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 13204) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |