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Organization

BEL ALTON REGIONAL DENTAL CENTER

Active
Other names
Bel Alton Regional Dental Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIE JERONE WINFREE DDS (DENTAL DIRECTOR)
(703) 593-4299
Entity
Organization

Contact information

Practice address
9501 CRAIN HWY, BEL ALTON, MD 20611-3146
(301) 539-7904
Mailing address
9501 CRAIN HWY, BEL ALTON, MD 20611-3146
(301) 539-7904

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7804
MD

Other

Enumeration date
06/28/2012
Last updated
06/28/2012
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