Organization
ROSANNA BAILEY DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSANNA BAILEY D.D.S. (DENTIST)
(301) 782-9061
Entity
Organization
Contact information
Practice address
15908 CRAIN HWY UNIT D, BRANDYWINE, MD 20613-8032
(301) 782-9061
Mailing address
15908 CRAIN HWY UNIT D, BRANDYWINE, MD 20613-8032
(301) 782-9061
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10344
MD
1223G0001X
General Practice Dentistry
10344
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141405400
—
MD
Enumeration date
06/26/2015
Last updated
06/26/2015
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