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Organization
HAGERTOWN DENTAL CENTER
Active
Organization
HAGERTOWN DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIC A CHOUDRY DDS (DENTIST)
(301) 733-2861
Entity
Organization
Contact information
Practice address
301 E ANTIETAM ST, HAGERSTOWN, MD 21740-2608
(301) 733-2861
(301) 733-7557
Mailing address
301 E ANTIETAM ST, HAGERSTOWN, MD 21740-2608
(301) 733-2861
(301) 733-7557
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13215
MD
122300000X
Dentist
3459
MD
122300000X
Dentist
6844
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019747500
—
MD
Enumeration date
07/09/2009
Last updated
07/09/2009
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