| NPI | 1841438322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LYNN SCLATER Owner 410-257-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 13294) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 5475) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-07-06 |