| NPI | 1932503620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE RIEF Doctor 410-363-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 9146) |
| Additional Taxonomies | 122300000X Dentist (Licence: MD 15517) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |