| NPI | 1770704546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH HARTT COATES Office Manager 410-629-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: MD MD11407) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |