Individual
DR. DAVID A MUGFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD PA
Contact information
Practice address
1660 VILLAGE GRN, CROFTON, MD 21114-2033
(410) 721-7801
(410) 721-7802
Mailing address
1660 VILLAGE GRN, SUITE 104, CROFTON, MD 21114-2033
(410) 721-7801
(410) 721-7802
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11651
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-8586462
FEDERAL ID
MD
Enumeration date
03/09/2007
Last updated
06/20/2017
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