| NPI | 1932233012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZENAIDA MOOTSO COFIE President 410-825-1771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MD 11641) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2014-03-04 |