| NPI | 1710473731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN JOHNSTON WILSON Owner/Dentist 443-280-0968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 14704) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |