Baltimore Washington Endodontics | |
6021 University Blvd Suite 170 Ellicott City MD 21043-6077 | |
(410) 203-1800 | |
(410) 203-1974 |
Full Name | Baltimore Washington Endodontics |
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Speciality | Dentist - Endodontics |
Location | 6021 University Blvd, Ellicott City, Maryland |
Authorized Official Name and Position | Mandy Palmer (OFFICE ADMINISTRATIVE ASSISTANT) |
Authorized Official Contact | 4102031800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Baltimore Washington Endodontics 6021 University Blvd Suite 170 Ellicott City MD 21043-6077 Ph: (410) 203-1800 | Baltimore Washington Endodontics 6021 University Blvd Suite 170 Ellicott City MD 21043-6077 Ph: (410) 203-1800 |
NPI Number | 1275069510 |
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Provider Enumeration Date | 05/05/2017 |
Last Update Date | 05/05/2017 |
Identifier | Type | State | Issuer |
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1275069510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 13345 (Maryland) | Primary |
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