| Drs Russell & Nicholas-holmes | |
|
4714 Edmondson Avenue Baltimore MD 21229 | |
| (410) 566-4200 | |
| (410) 566-1770 |
| Full Name | Drs Russell & Nicholas-holmes |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4714 Edmondson Avenue, Baltimore, Maryland |
| Authorized Official Name and Position | May Nicholas-holmes (ORTHODONTIST) |
| Authorized Official Contact | 4105664200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Russell & Nicholas-holmes 4714 Edmondson Avenue Baltimore MD 21229 Ph: (410) 566-4200 | Drs Russell & Nicholas-holmes 4714 Edmondson Avenue Baltimore MD 21229 Ph: (410) 566-4200 |
| NPI Number | 1003832684 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 12/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003832684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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