| Family Dentistry Of Westminster | |
|
532 Baltimore Blvd 412 Westminster MD 21157-6117 | |
| (443) 603-9000 | |
| Not Available |
| Full Name | Family Dentistry Of Westminster |
|---|---|
| Speciality | Dentist |
| Location | 532 Baltimore Blvd, Westminster, Maryland |
| Authorized Official Name and Position | Jun Tae Bae (OWNER) |
| Authorized Official Contact | 4108761747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry Of Westminster 532 Baltimore Blvd 412 Westminster MD 21157-6117 Ph: () - | Family Dentistry Of Westminster 532 Baltimore Blvd 412 Westminster MD 21157-6117 Ph: (443) 603-9000 |
| NPI Number | 1346695616 |
|---|---|
| Provider Enumeration Date | 04/25/2016 |
| Last Update Date | 11/27/2019 |
| Medicare PECOS PAC ID | 5496179186 |
|---|---|
| Medicare Enrollment ID | O20200728002901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346695616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Maryland) | Primary |
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