| NPI | 1659816254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVOD KAZEMIZADEH GOL Owner/Dentist 410-884-0262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 15417) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |