| NPI | 1932263795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECELIA LYNN THOMAS Office Manager, Accounts Receivable 410-222-7135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |