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Organization

MARVIN B NGWAFON DDS MFS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARVIN BONFUAN NGWAFON D.D.S (PRESIDENT)
(202) 550-0633
Entity
Organization

Contact information

Practice address
2406 GARRISON BLVD, BALTIMORE, MD 21216-2222
(410) 542-9780
Mailing address
2406 GARRISON BLVD, BALTIMORE, MD 21216-2222
(410) 542-9780

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14656
MD

Other

Enumeration date
01/10/2012
Last updated
01/10/2012
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