NPI | 1902258940 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS HAO Partner 443-968-8133 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 13436) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 15273) |
Enumeration Date | 2016-07-01 |
Last Update Date | 2016-07-01 |