| NPI | 1902038557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY A KAUFFMAN Patient Coordinator 410-451-2687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 12765) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-12-03 |