| Dental Care Of Baltimore | |
|
5415 Old Court Rd Ste 501 Randallstown MD 21133-5171 | |
| (410) 922-1601 | |
| (410) 922-6145 |
| Full Name | Dental Care Of Baltimore |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5415 Old Court Rd Ste 501, Randallstown, Maryland |
| Authorized Official Name and Position | George Edward Evans (PRESIDENT/OWNER) |
| Authorized Official Contact | 4109221601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Care Of Baltimore 5415 Old Court Rd Ste 501 Randallstown MD 21133-5171 Ph: (410) 922-1601 | Dental Care Of Baltimore 5415 Old Court Rd Ste 501 Randallstown MD 21133-5171 Ph: (410) 922-1601 |
| NPI Number | 1346731478 |
|---|---|
| Provider Enumeration Date | 05/24/2018 |
| Last Update Date | 09/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346731478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7238 (Maryland) | Primary |
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