NPI | 1720315732 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY EPSTEIN Managing Partner 410-515-0430 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 7839) |
Enumeration Date | 2009-11-11 |
Last Update Date | 2015-02-11 |