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Organization
MID AMERICA DENTAL GROUP OF MARYLAND PC
Active
Organization
MID AMERICA DENTAL GROUP OF MARYLAND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS GARABIS DDS (OWNER)
(317) 886-6639
Entity
Organization
Contact information
Practice address
210 PIER 1 RD, STE 201, STEVENSVILLE, MD 21666-2604
(317) 886-6639
(888) 547-0377
Mailing address
1499 WINDHORST WAY STE 100, GREENWOOD, IN 46143-8800
(317) 886-6639
(888) 547-0377
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/19/2013
Last updated
02/28/2014
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