| NPI | 1770550121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JOSEPH NESSIF President 410-997-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: MD 7023) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2008-09-19 |