| NPI | 1811198997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A FIELDS Owner 410-747-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 5198) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |