Organization
BETHANY SERAFIN AWALT, DMD, PA
Active
Other names
Valley Village Oral Surgery Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETHANY S AWALT DMD (OWNER)
(410) 581-9008
Entity
Organization
Contact information
Practice address
2 RESERVOIR CIRCLE, SUITE 103, PIKESVILLE, MD 21208
(410) 581-9008
(410) 581-6720
Mailing address
2 RESERVOIR CIRCLE, SUITE 103, PIKESVILLE, MD 21208
(410) 581-9008
(410) 581-6720
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
14054
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4876
MD
Other
Enumeration date
05/06/2010
Last updated
05/31/2024
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