| NPI | 1649471145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CAMPBELL COLLINS President 410-243-6066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 13241) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2015-02-13 |