| Byron Bonebreak Dmd Llc | |
|
100 Harborview Dr Unit 1309 Baltimore MD 21230-5415 | |
| (443) 956-5814 | |
| (410) 779-7775 |
| Full Name | Byron Bonebreak Dmd Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 100 Harborview Dr, Baltimore, Maryland |
| Authorized Official Name and Position | David Bonebreak (ASSOCIATE) |
| Authorized Official Contact | 4439565814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Byron Bonebreak Dmd Llc 100 Harborview Dr Unit 1309 Baltimore MD 21230-5415 Ph: (443) 956-5814 | Byron Bonebreak Dmd Llc 100 Harborview Dr Unit 1309 Baltimore MD 21230-5415 Ph: (443) 956-5814 |
| NPI Number | 1447649900 |
|---|---|
| Provider Enumeration Date | 01/21/2015 |
| Last Update Date | 01/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447649900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6368 (Maryland) | Primary |
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