| NPI | 1871834192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY HERBERT BENAVENT Dentist 443-535-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 13620) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |