| |
7401 Osler Dr Suite 202 Towson MD 21204-7673 | |
(410) 337-7004 | |
(410) 337-7644 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 7401 Osler Dr, Towson, Maryland |
Authorized Official Name and Position | Duane Aldous Anglin (DENTIST/OWNER) |
Authorized Official Contact | 4106544544 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7401 Osler Dr Suite 202 Towson MD 21204-7673 Ph: (410) 337-7004 | 7401 Osler Dr Suite 202 Towson MD 21204-7673 Ph: (410) 337-7004 |
NPI Number | 1306990411 |
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Provider Enumeration Date | 01/23/2007 |
Last Update Date | 11/12/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306990411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 13165 (Maryland) | Primary |
1223G0001X | Dentist - General Practice | 12908 (Maryland) | Secondary |
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