| NPI | 1992977235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI SOULATI Dentist/Owner 410-819-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 13057) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |