| NPI | 1841455615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ELAINE REYNOLDS LUNDGREN D.D.S 410-676-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |