| NPI | 1942548540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIMENA PAREJA Officer 410-953-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 12833) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |