NPI | 1659599710 |
---|---|
Former Legal Business Name | ANGELOU DENTAL |
Entity Type | Organization |
Authorized Contact | JOHN EVANGELOS ANGELOU Dentist Owner 410-674-4724 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 10026) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2021-06-03 |