| NPI | 1598164055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK H. WANG President 410-730-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 14992) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |