| NPI | 1720562507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHTAB KHOSHKHOU Pediatric Dentist/Owner 443-904-2459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |