Individual
JOSE CARLOS JUAMBELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10085 DUNKIRK WAY STE 104, DUNKIRK, MD 20754-2024
(410) 257-7676
(410) 257-5212
Mailing address
PO BOX 219, DUNKIRK, MD 20754-0219
(410) 271-4004
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11030
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
448244100
—
MD
Enumeration date
03/07/2006
Last updated
05/08/2025
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