NPI | 1649860750 |
---|---|
Doing Business As | DODEK DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | NIKI M. DODEK GORMAN Managing Member/Co Owner/Dentist 410-381-1344 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-01-22 |
Last Update Date | 2021-01-22 |