Organization
TAMARA M GANT DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA DULAN DDS (DENTIST)
(410) 391-3801
Entity
Organization
Contact information
Practice address
6058 ROSSVILLE BLVD, BALTIMORE, MD 21221-3158
(410) 391-3801
Mailing address
6058 ROSSVILLE BLVD, BALTIMORE, MD 21221-3158
(410) 391-3801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11482
MD
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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