| Jacques P. Exposito, D.d.s. P.a. | |
|
1404 Crain Hwy S Suite 110 Glen Burnie MD 21061-4085 | |
| (410) 768-8220 | |
| (410) 768-8252 |
| Full Name | Jacques P. Exposito, D.d.s. P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1404 Crain Hwy S, Glen Burnie, Maryland |
| Authorized Official Name and Position | Jacques Philippe Exposito (PRESIDENT/OWNER) |
| Authorized Official Contact | 4107688220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacques P. Exposito, D.d.s. P.a. 1404 Crain Hwy S Suite 110 Glen Burnie MD 21061-4085 Ph: (410) 768-8220 | Jacques P. Exposito, D.d.s. P.a. 1404 Crain Hwy S Suite 110 Glen Burnie MD 21061-4085 Ph: (410) 768-8220 |
| NPI Number | 1356607097 |
|---|---|
| Provider Enumeration Date | 04/06/2012 |
| Last Update Date | 04/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356607097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12223 (Maryland) | Primary |
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