Organization
PARK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASSAN NUR (DENTIST)
(443) 850-0079
Entity
Organization
Contact information
Practice address
7304 E FURNACE BRANCH RD, GLEN BURNIE, MD 21060-7056
(410) 424-3552
Mailing address
7304 E FURNACE BRANCH RD, GLEN BURNIE, MD 21060-7056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15404
MD
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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