| NPI | 1760231005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C BRUMMER Orthodontist 410-409-9501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-05-17 |