Organization
UNIVERSITY OF MARYLAND DENTAL SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY D. HACK DDS (ASSOCIATE PROFESSOR)
(410) 707-7047
Entity
Organization
Contact information
Practice address
650 W BALTIMORE ST, BALTIMORE, MD 21201-1510
(410) 706-7542
Mailing address
650 W BALTIMORE ST, BALTIMORE, MD 21201-1510
(410) 706-7542
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7967
MD
261QM1300X
Multi-Specialty Clinic/Center
07967
MD
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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