| NPI | 1598262776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLEH TAJALLI Owner And Dentist 410-707-3704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 15974) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2019-04-08 |