| NPI | 1982053575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA C MCCLURE Office Manager 410-398-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 12478) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |