Organization
NEIBAUER DENTAL CARE, P.C.
Active
Parent organization
NEIBAUER DENTAL CARE, P.C.
Other names
Neibauer Dental Care - Bowie
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEIBAUER DENTAL CARE, P.C.
Authorized official
MS. JASMINE REARDON (CREDENTIAL COORDINATOR)
(217) 540-8330
Entity
Organization
Contact information
Practice address
6141 HIGHBRIDGE RD, BOWIE, MD 20715
(301) 801-6404
(301) 262-8609
Mailing address
6141 HIGHBRIDGE RD, BOWIE, MD 20715
(301) 801-6404
(301) 262-8609
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15871
MD
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
11/28/2011
Last updated
12/10/2015
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