Organization
DAYSE IB DENTAL IV PC
Active
Other names
Angel Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DAYSE DDS, MBA (PRESIDENT/CEO)
(202) 297-1500
Entity
Organization
Contact information
Practice address
405 FREDERICK RD, SUITE 150, CATONSVILLE, MD 21228-4645
(410) 747-0077
Mailing address
PO BOX 1848, IB DENTAL IV, HYATTSVILLE, MD 20788-0848
(202) 297-1500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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