| NPI | 1881879203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY DAVID EPSTEIN Dentist 410-768-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 8273) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |