Organization
DOVER CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA BRADFORD DOVER D.C. (OWNER/DOCTOR)
(410) 377-3070
Entity
Organization
Contact information
Practice address
6600 YORK RD, SUITE107, BALTIMORE, MD 21212-2028
(410) 377-3070
(410) 377-2960
Mailing address
6600 YORK RD, SUITE107, BALTIMORE, MD 21212-2028
(410) 377-3070
(410) 377-2960
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S03464
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S03464
CHIROPRACTIC LICENSE
MD
Enumeration date
11/08/2012
Last updated
11/08/2012
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