| NPI | 1861664286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN K VARGAS Dentist/ Owner 410-852-1570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MA 220055) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |