NPI | 1790990133 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG L. SNYDER President 410-296-3993 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 8791) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2020-08-22 |