Individual
DR. RAYMOND H FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6666 SECURITY BLVD, GWYNN OAK, MD 21207-4013
(410) 298-4898
Mailing address
6666 SECURITY BLVD, GWYNN OAK, MD 21207-4013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
90760
MD
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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