| Halethorpe Orthodontics, Llc | |
|
4367 Hollins Ferry Rd Suite 1d Baltimore MD 21227-3400 | |
| (410) 565-6282 | |
| (301) 384-9877 |
| Full Name | Halethorpe Orthodontics, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4367 Hollins Ferry Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Ravi Kaur (OWNER) |
| Authorized Official Contact | 4105656282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Halethorpe Orthodontics, Llc 4367 Hollins Ferry Rd Suite 1d Baltimore MD 21227-3400 Ph: (410) 565-6282 | Halethorpe Orthodontics, Llc 4367 Hollins Ferry Rd Suite 1d Baltimore MD 21227-3400 Ph: (410) 565-6282 |
| NPI Number | 1346646379 |
|---|---|
| Provider Enumeration Date | 11/19/2014 |
| Last Update Date | 11/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346646379 | NPI | - | NPPES |
| 039215400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Maryland) | Primary |
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