| Burwood Village Dentistry Llc | |
|
1608 W Furnace Branch Rd Ste A Glen Burnie MD 21061-1411 | |
| (410) 859-1038 | |
| Not Available |
| Full Name | Burwood Village Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1608 W Furnace Branch Rd Ste A, Glen Burnie, Maryland |
| Authorized Official Name and Position | Ishtiaq Rouf (MANAGER) |
| Authorized Official Contact | 6178170681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burwood Village Dentistry Llc 1608 W Furnace Branch Rd Ste A Glen Burnie MD 21061-1411 Ph: (410) 859-1038 | Burwood Village Dentistry Llc 1608 W Furnace Branch Rd Ste A Glen Burnie MD 21061-1411 Ph: (410) 859-1038 |
| NPI Number | 1396507588 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 01/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396507588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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