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Organization

CLEARLY DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA RINA WALTER DDS (OWNER)
(410) 420-9822
Entity
Organization

Contact information

Practice address
1518 CHURCHVILLE RD, BEL AIR, MD 21014
(410) 420-9822
(410) 420-9843
Mailing address
1518 CHURCHVILLE RD, BEL AIR, MD 21014
(410) 420-9822
(410) 420-9843

Taxonomy

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

Other

Enumeration date
12/11/2006
Last updated
11/15/2007
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