| NPI | 1760667539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOSEPH GORE President 410-749-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 04992) |
| Enumeration Date | 2007-12-29 |
| Last Update Date | 2007-12-29 |