| NPI | 1982744884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT I SACHS Vice President 410-821-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MD 6720) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: MD 4013) |
| 1223P0300X Dentist, Periodontics (Licence: MD 10821) | |
| 1223P0700X Dentist, Prosthodontics (Licence: MD 6720) | |
| 1223P0700X Dentist, Prosthodontics (Licence: MD 4013) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |