| NPI | 1831644988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA CAPOBIANCO Partner 410-697-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 12180) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |