| NPI | 1912041062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALAN LIEBERMAN President 410-252-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MD 6162) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2013-02-23 |