| NPI | 1699297838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX ANT General Dentist 410-337-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 122300000X Dentist (Licence: MD 11698) |
| 1223E0200X Dentist, Endodontics (Licence: MD 11698) | |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2023-03-07 |