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7600 Osler Dr Suite 115 Towson MD 21204-7735 | |
(410) 339-5858 | |
(410) 339-3838 |
Full Name | |
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Speciality | Dentist |
Location | 7600 Osler Dr, Towson, Maryland |
Authorized Official Name and Position | Gloria Anne J Mcmenamin (PRESIDENT) |
Authorized Official Contact | 4103395858 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7600 Osler Dr Suite 115 Towson MD 21204-7735 Ph: (410) 339-5858 | 7600 Osler Dr Suite 115 Towson MD 21204-7735 Ph: (410) 339-5858 |
NPI Number | 1871702738 |
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Provider Enumeration Date | 05/21/2007 |
Last Update Date | 03/10/2014 |
Identifier | Type | State | Issuer |
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1871702738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 11560 (Maryland) | Primary |
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