Organization
HARBOR EAST DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENICE KAREN PATERAKIS D.D.S (PRESIDENT)
(410) 385-9966
Entity
Organization
Contact information
Practice address
1001 FLEET ST, SUITE R, BALTIMORE, MD 21202-4346
(410) 385-9966
(410) 385-0276
Mailing address
1001 FLEET ST, SUITE R, BALTIMORE, MD 21202-4346
(410) 385-9966
(410) 385-0276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07526
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5033
BLUECROSS BLUESHIELD ID
MD
Enumeration date
02/13/2007
Last updated
08/22/2020
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