| NPI | 1669859435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL A WEALCATCH President/Owner 410-602-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 10450) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |