| Frontera Dental | |
|
101 W Ridgely Rd 3b Lutherville MD 21093-5101 | |
| (410) 252-1900 | |
| (410) 252-6546 |
| Full Name | Frontera Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 W Ridgely Rd, Lutherville, Maryland |
| Authorized Official Name and Position | Joseph I Frontera (OWNER) |
| Authorized Official Contact | 4102521900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontera Dental 101 W Ridgely Rd 3b Lutherville MD 21093-5101 Ph: (410) 252-1900 | Frontera Dental 101 W Ridgely Rd 3b Lutherville MD 21093-5101 Ph: (410) 252-1900 |
| NPI Number | 1215128137 |
|---|---|
| Provider Enumeration Date | 08/06/2007 |
| Last Update Date | 08/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215128137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10917 (Maryland) | Primary |
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