| NPI | 1851494819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE WALTER RUPPRECHT President 410-821-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: MD 4366) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |