Individual
DR. JOSEPH LOUIS KONZELMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
114 GALYN DR, BRUNSWICK, MD 21758
(301) 834-6932
(301) 834-6932
Mailing address
114 GALYN DR, BRUNSWICK, MD 21758-9020
(301) 834-6932
(301) 634-6932
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009508
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZG9508
—
SC
Enumeration date
05/18/2006
Last updated
12/03/2007
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