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Organization
BALTIMORE AVE. DENTAL
Active
Organization
BALTIMORE AVE. DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY BRAGER DDS (DENTIST)
(301) 927-2500
Entity
Organization
Contact information
Practice address
7305 BALTIMORE AVE, SUITE 205, COLLEGE PARK, MD 20740-3234
(301) 927-2500
(301) 927-2555
Mailing address
7305 BALTIMORE AVE, SUITE 205, COLLEGE PARK, MD 20740-3234
(301) 927-2500
(301) 927-2555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3300
MD
Other
Enumeration date
09/12/2006
Last updated
08/22/2020
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