| NPI | 1841510351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA F MILLER Owner 410-363-2269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 8353) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: MD 5369) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-06-07 |