| NPI | 1942692173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN MCINNES PALMER Orthodontist 410-823-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 14686) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |