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Individual

HAROLD DAVID ALLICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
11125 ROCKVILLE PIKE, SUITE 204, ROCKVILLE, MD 20852-3142
(301) 881-6666
(301) 881-2813
Mailing address
11125 ROCKVILLE PIKE, SUITE 204, ROCKVILLE, MD 20852-3142
(301) 881-6666
(301) 881-2813

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7656
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
521613238
TAX ID#
MD
Enumeration date
07/19/2006
Last updated
10/09/2008
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