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Organization
UNIVERSITY OF MARYLAND DENTAL SCHOOL
Active
Organization
UNIVERSITY OF MARYLAND DENTAL SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY D. HACK DDS (ASSOCIATE PROFESSOR)
(410) 707-7047
Entity
Organization
Contact information
Practice address
650 W BALTIMORE ST, BALTIMORE, MD 21201-1510
(410) 706-7542
Mailing address
650 W BALTIMORE ST, BALTIMORE, MD 21201-1510
(410) 706-7542
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7967
MD
261QM1300X
Multi-Specialty Clinic/Center
07967
MD
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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