NPI | 1770694523 |
---|---|
Former Legal Business Name | MARYLAND ORAL SURGERY ASSOCIATES OF LAUREL, PA |
Entity Type | Organization |
Authorized Contact | GLENN A NATHAN President Of Maryland Oral Surgery 301-340-6884 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
Enumeration Date | 2006-08-31 |
Last Update Date | 2023-08-09 |