Organization
DAVID BONEBREAK DDS MS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BONEBREAK DDS (OWNER)
(443) 956-5814
Entity
Organization
Contact information
Practice address
7556 TEAGUE RD, SUITE 106, HANOVER, MD 21076-1213
(410) 799-8220
Mailing address
100 HARBORVIEW DR, UNIT 1309, BALTIMORE, MD 21230-5415
(443) 956-5814
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
14232
MD
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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