| NPI | 1902050990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA M LIM Owner 410-882-8992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 7685) |
| Additional Taxonomies | 122300000X Dentist (Licence: MD 8307) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |