| NPI | 1841564556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA NICHOLSON Office Manager 410-789-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 9214) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |