| NPI | 1699095372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAHITA ABDEHOU Practice Owner 410-812-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 13230) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |