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 |