| Baltimore Center Of Advanced Dentistry | |
|
1134 York Rd Suite 213 Lutherville MD 21093-6215 | |
| (410) 296-5650 | |
| (410) 296-0354 |
| Full Name | Baltimore Center Of Advanced Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1134 York Rd, Lutherville, Maryland |
| Authorized Official Name and Position | Gary Bauman (PRESIDENT) |
| Authorized Official Contact | 4102965650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baltimore Center Of Advanced Dentistry 1134 York Rd Suite 213 Lutherville MD 21093-6215 Ph: (410) 296-5650 | Baltimore Center Of Advanced Dentistry 1134 York Rd Suite 213 Lutherville MD 21093-6215 Ph: (410) 296-5650 |
| NPI Number | 1831296029 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831296029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | MD9859 (Maryland) | Primary |
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