| NPI | 1922450220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA VIOLA SIMISON Public Health Dental Hygienist 443-907-7309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MA DH88043) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |