| NPI | 1982343679 |
|---|---|
| Other Name | WENDY DAULAT |
| Entity Type | Organization |
| Authorized Contact | KAREN SANDOVAL Office Manager 443-545-5058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-06-01 |