Individual
MARK SCARUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 VILLAGE SQ, BALTIMORE, MD 21210-1624
(410) 323-6400
Mailing address
2 VILLAGE SQ, BALTIMORE, MD 21210-1624
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9372
MD
Other
Enumeration date
02/04/2007
Last updated
09/19/2013
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