| NPI | 1609978881 |
|---|---|
| Doing Business As | BLUE WATER DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | GLENN MICHAEL POCH Managing Member 410-674-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 12795) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |