| NPI | 1720136054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN BENNETT MASSEY President 410-543-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 6959) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |