| NPI | 1699960724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB MATHEWS General Dentist 410-960-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 13009) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2008-09-17 |