| University Of Maryland Dental School | |
|
650 W Baltimore St Baltimore MD 21201-1510 | |
| (410) 706-7542 | |
| Not Available |
| Full Name | University Of Maryland Dental School |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 650 W Baltimore St, Baltimore, Maryland |
| Authorized Official Name and Position | Gary D. Hack (ASSOCIATE PROFESSOR) |
| Authorized Official Contact | 4107077047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Maryland Dental School 650 W Baltimore St Baltimore MD 21201-1510 Ph: (410) 706-7542 | University Of Maryland Dental School 650 W Baltimore St Baltimore MD 21201-1510 Ph: (410) 706-7542 |
| NPI Number | 1255600334 |
|---|---|
| Provider Enumeration Date | 12/20/2011 |
| Last Update Date | 12/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255600334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7967 (Maryland) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | 07967 (Maryland) | Secondary |
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