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Organization
BELVEDERE SQUARE DENTAL LLC
Active
Organization
BELVEDERE SQUARE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HELENE SHAPIRO D.M.D (DENTIST)
(201) 417-5119
Entity
Organization
Contact information
Practice address
14 RUBY FIELD CT, BALTIMORE, MD 21209-1559
(201) 417-5119
Mailing address
14 RUBY FIELD CT, BALTIMORE, MD 21209-1559
(201) 417-5119
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
14458
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037849600
—
MD
Enumeration date
04/26/2016
Last updated
04/26/2016
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