| NPI | 1699064550 |
|---|---|
| Doing Business As | VERNON PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MAYA ALQUEZA VERNON Pediatric Dentist 410-544-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 12948) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |