| NPI | 1972722114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANN CARUSO President 410-990-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 10561) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |