Individual
DR. BERNARD J DORMER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PA
Contact information
Practice address
1410 S SALISBURY BLVD, SUITE 3, SALISBURY, MD 21801-7127
(410) 749-0248
(410) 749-0292
Mailing address
1410 S SALISBURY BLVD, SUITE 3, SALISBURY, MD 21801-7127
(410) 749-0248
(410) 749-0292
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
MD05156
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141236
UNITED CONCORDIAN
—
Enumeration date
07/20/2006
Last updated
07/08/2007
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