Individual
DR. DOUGLAS MARK BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
650 W BALTIMORE ST, ROOM 2201, BALTIMORE, MD 21201-1510
(410) 706-0741
(410) 706-0740
Mailing address
650 W BALTIMORE ST, ROOM 2201, BALTIMORE, MD 21201-1510
(410) 706-0741
(410) 706-0740
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8625
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8625
MARYLAND DENTAL LICENSE REGISTRATION
MD
01
—
AB2466325
CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE
MD
Enumeration date
07/08/2011
Last updated
07/08/2011
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