NPI | 1588706113 |
---|---|
Entity Type | Organization |
Authorized Contact | LAMON STEWART Orthodontist 410-451-7202 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
Enumeration Date | 2007-02-12 |
Last Update Date | 2020-08-22 |