Organization
IB DENTAL I, P.C.
Active
Other names
iBrush Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DAYSE DDS (OWNER/DIRECTOR)
(410) 254-5437
Entity
Organization
Contact information
Practice address
6105 HARFORD RD, BALTIMORE, MD 21214-1312
(410) 254-5437
(410) 254-5310
Mailing address
6105 HARFORD RD, BALTIMORE, MD 21214-1312
(410) 254-5437
(410) 254-5310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14139
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
14139
MD
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
14139
MD
Other
Enumeration date
09/03/2014
Last updated
09/04/2014
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