Individual
DR. STEPHEN BLAINE SINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19819 BROAD STREET, MIDLAND, MD 21542-0335
(301) 463-6669
(301) 463-6336
Mailing address
19819 BROAD STREET, P.O.BOX 335, MIDLAND, MD 21542-0335
(301) 463-6669
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6599
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0093569032
EMPLOYER ID NUMBER
MD
Enumeration date
12/05/2006
Last updated
07/08/2007
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