Individual
DR. RAOUL CARR VANDENBOSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10 WEST BROADWAY, BEL AIR, MD 21014-3555
(410) 879-7333
Mailing address
10 WEST BROADWAY, BEL AIR, MD 21014-3555
(410) 879-7333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4228
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
422171
UNITED CONCORDIA
—
01
—
6405
CARE FIRST BCBS
MD
01
—
670941
UNITED HEALTHCARE
—
Enumeration date
05/18/2007
Last updated
07/08/2007
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