Individual
DAQUANT N HORNBEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
(DDS)
Contact information
Practice address
4000 MITCHELLVILLE RD STE B426, BOWIE, MD 20716-3159
(240) 334-2930
(240) 334-2931
Mailing address
4000 MITCHELLVILLE RD STE B426, BOWIE, MD 20716-3159
(240) 334-2930
(240) 334-2931
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14435
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46-4087563
MARYLAND STATE TAX ID
MD
Enumeration date
04/07/2009
Last updated
04/29/2014
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