NPI | 1881002053 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT STEPHEN MARTIN Owner 410-721-3403 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MD 5401) |
Enumeration Date | 2014-07-31 |
Last Update Date | 2014-07-31 |