Individual
DR. RAFAEL ANTHONY ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 HILLCREST DR STE A100, FREDERICK, MD 21703-6271
(301) 898-2606
(301) 898-2755
Mailing address
3 HILLCREST DR STE A100, FREDERICK, MD 21703-6271
(301) 898-2606
(301) 898-2755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12408
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12408
MARYLAND LICENSE
MD
Enumeration date
05/29/2011
Last updated
12/30/2023
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