Organization
HALETHORPE ORTHODONTICS, LLC
Active
Parent organization
M&R DENTAL ASSOCIATES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
M&R DENTAL ASSOCIATES, LLC
Authorized official
DR. RAVI KAUR DDS (OWNER)
(410) 565-6282
Entity
Organization
Contact information
Practice address
4367 HOLLINS FERRY RD, SUITE 1D, BALTIMORE, MD 21227-3400
(410) 565-6282
(301) 384-9877
Mailing address
4367 HOLLINS FERRY RD, SUITE 1D, BALTIMORE, MD 21227-3400
(410) 565-6282
(301) 384-9877
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039215400
—
MD
Enumeration date
11/19/2014
Last updated
11/19/2014
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