| NPI | 1891297057 |
|---|---|
| Doing Business As | SPLENDENT IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOHN SORTMAN Owner 410-908-3652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2019-09-13 |