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1413 Wesley Dr Salisbury MD 21801-7130 | |
| (410) 749-2933 | |
| (410) 749-0239 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1413 Wesley Dr, Salisbury, Maryland |
| Authorized Official Name and Position | Casey Lonabocker (VP OPERATIONS & STRATEGY) |
| Authorized Official Contact | 6175353364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
131 Dartmouth St Fl 3 Boston MA 02116-5297 Ph: (617) 353-3305 | 1413 Wesley Dr Salisbury MD 21801-7130 Ph: (410) 749-2933 |
| NPI Number | 1083343347 |
|---|---|
| Provider Enumeration Date | 06/09/2022 |
| Last Update Date | 11/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083343347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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