| NPI | 1659087369 |
|---|---|
| Doing Business As | ROUTE 40 FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAVID LEE Owner/ Doctor 410-465-1868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-01-25 |