| NPI | 1700040706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P RULAND President 410-268-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: MD 3446) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2022-05-05 |