Hagertown Dental Center | |
301 E Antietam St Hagerstown MD 21740-2608 | |
(301) 733-2861 | |
(301) 733-7557 |
Full Name | Hagertown Dental Center |
---|---|
Speciality | Dentist |
Location | 301 E Antietam St, Hagerstown, Maryland |
Authorized Official Name and Position | Vic A Choudry (DENTIST) |
Authorized Official Contact | 3017332861 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hagertown Dental Center 301 E Antietam St Hagerstown MD 21740-2608 Ph: (301) 733-2861 | Hagertown Dental Center 301 E Antietam St Hagerstown MD 21740-2608 Ph: (301) 733-2861 |
NPI Number | 1538398797 |
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Provider Enumeration Date | 07/09/2009 |
Last Update Date | 07/09/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538398797 | NPI | - | NPPES |
019747500 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 13215 (Maryland) | Primary |
122300000X | Dentist | 3459 (Maryland) | Secondary |
122300000X | Dentist | 6844 (Maryland) | Secondary |
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