| NPI | 1801207717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERLINDA E EMBUSCADO Sole Member 443-322-4847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 15207) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |