| NPI | 1619279262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS L. LEVINSON President 410-356-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MD 5216) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MD 14060) |
| 1223E0200X Dentist, Endodontics (Licence: MD 11261) | |
| 1223E0200X Dentist, Endodontics (Licence: MD 6166) | |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2011-03-15 |