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Organization
BETHANY SERAFIN AWALT, DMD, PA
Active
Organization
BETHANY SERAFIN AWALT, DMD, PA
Active
Other names
Valley Village Oral Surgery Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETHANY S AWALT DMD (OWNER)
(410) 581-9008
Entity
Organization
Contact information
Practice address
2 RESERVOIR CIRCLE, SUITE 103, PIKESVILLE, MD 21208
(410) 581-9008
(410) 581-6720
Mailing address
2 RESERVOIR CIRCLE, SUITE 103, PIKESVILLE, MD 21208
(410) 581-9008
(410) 581-6720
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
14054
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4876
MD
Other
Enumeration date
05/06/2010
Last updated
05/31/2024
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