NPI | 1619647443 |
---|---|
Other Name | FRONT ROW |
Entity Type | Organization |
Authorized Contact | SANDRA SELNICK Owner 443-391-9191 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2021-09-14 |
Last Update Date | 2021-09-14 |