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Individual

MEGAN COOK BAJLOVIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
12 PENNINGTON ST, SUITE #300, MIDDLETOWN, DE 19709-1026
(302) 378-4416
(302) 378-4486
Mailing address
12 PENNINGTON ST, SUITE #300, MIDDLETOWN, DE 19709-1026
(302) 378-4416
(302) 378-4486

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
G1-0001287
DE
390200000X
Student in an Organized Health Care Education/Training Program
DE

Other

Enumeration date
05/07/2009
Last updated
06/11/2015
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