Organization
HAGERSTOWN DENTIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARIQ BAQAI (DENTIST/EMPLOYEE)
(301) 401-6336
Entity
Organization
Contact information
Practice address
1303 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-3107
(301) 200-9585
(301) 200-9585
Mailing address
1303 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-3107
(301) 200-9585
(301) 200-9585
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/26/2023
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