| NPI | 1720175946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN Y MYINT President 410-398-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 12530) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: MD 12461) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2012-07-31 |