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Organization

BALTIMORE WASHINGTON ENDODONTICS

Active
Other names
Baltimore Washington Endodontics
Organization subpart
No

Provider details

NPI number
Authorized official
MISS MANDY PALMER (OFFICE ADMINISTRATIVE ASSISTANT)
(410) 203-1800
Entity
Organization

Contact information

Practice address
6021 UNIVERSITY BLVD, SUITE 170, ELLICOTT CITY, MD 21043-6077
(410) 203-1800
(410) 203-1974
Mailing address
6021 UNIVERSITY BLVD, SUITE 170, ELLICOTT CITY, MD 21043-6077
(410) 203-1800
(410) 203-1974

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
13345
MD

Other

Enumeration date
05/05/2017
Last updated
05/05/2017
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