| NPI | 1598850422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARA E PHILIPPI Dentist/Owner 410-740-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 12458) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |