| NPI | 1982958161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH KRATZER Office Manager 443-574-8944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 14002) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |