Individual
DR. MARIANO ANGEL BOFILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5864 HUBBARD DR, ROCKVILLE, MD 20852-4820
(301) 881-6626
Mailing address
5864 HUBBARD DR, ROCKVILLE, MD 20852-4820
(301) 881-6626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10705
MD
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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