| 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 |