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Organization

UNIVERSITY CENTRE DENTAL ASSOC. P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELIZABETH JEAN HAYNES D.D.S. (ORTHODONTIST)
(301) 220-1900
Entity
Organization

Contact information

Practice address
7833 WALKER DR, SUITE 10, GREENBELT, MD 20770-3211
(301) 220-1900
(301) 474-0433
Mailing address
7833 WALKER DR, SUITE 10, GREENBELT, MD 20770-3211
(301) 220-1900
(301) 474-0433

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10904
MD

Other

Enumeration date
04/29/2008
Last updated
04/29/2008
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