Organization
DRS. DELGADO & STANEK, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE PATRICIO DELGADO D.D.S. (PRESIDENT)
(410) 747-1707
Entity
Organization
Contact information
Practice address
1006 INGLESIDE AVE, BALTIMORE, MD 21228-1317
(410) 747-1707
(410) 747-2608
Mailing address
1006 INGLESIDE AVE, BALTIMORE, MD 21228-1317
(410) 747-1707
(410) 747-2608
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
5889
MD
1223E0200X
Endodontics
Primary
8801
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08072006288680
DENTIST
MD
Enumeration date
09/20/2006
Last updated
07/09/2008
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