NPI | 1871754770 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES KENNETH JOHNSON Owner 410-488-8471 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 4955) |
Enumeration Date | 2008-06-23 |
Last Update Date | 2008-06-23 |