Organization
BYRD DENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BOWEN (OFFICE MANAGER)
(301) 582-3010
Entity
Organization
Contact information
Practice address
11045 LINCOLN AVE, HAGERSTOWN, MD 21740-7719
(301) 582-3010
Mailing address
11045 LINCOLN AVE, HAGERSTOWN, MD 21740-7719
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15650
MD
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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