| NPI | 1952154015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS BOYD Owner 410-757-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-04-09 |