| NPI | 1891956355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA MICHELE LEWIS MEAD Pediatric Dentist 410-822-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 13284) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |