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Individual

DR. WILLIAM WAYNE MUMBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3639 LIBERTY HEIGHTS AVE, BALTIMORE, MD 21215-7139
(410) 664-9200
(410) 664-2560
Mailing address
3639 LIBERTY HEIGHTS AVE, BALTIMORE, MD 21215-7175
(410) 664-9200
(410) 664-2560

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7613
MD

Other

Enumeration date
05/12/2008
Last updated
05/12/2008
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