| NPI | 1790851723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER HALL HARKINS Owner 410-255-4397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 5646) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |