| NPI | 1851769731 |
|---|---|
| Doing Business As | JOPPA GREEN PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LISA BLACK Practice Administrator 410-321-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 12747) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |