| NPI | 1912624669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA STANLEY Office Manager 410-461-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2022-10-24 |