Organization
RANDALL H. HIERS D.D.S., P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI MORGAN R.D.H (OFFICE MANAGER)
(410) 228-4191
Entity
Organization
Contact information
Practice address
17 FRANKLIN ST, CAMBRIDGE, MD 21613-1916
(410) 228-4191
(410) 228-0356
Mailing address
17 FRANKLIN ST, CAMBRIDGE, MD 21613-1916
(410) 228-4191
(410) 228-0356
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7519
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7519
ST OF MD LICENSE
MD
Enumeration date
11/28/2006
Last updated
08/22/2020
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