| NPI | 1801233184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANNE M WYMAN Owner/ President 410-398-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 12279) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-05-28 |