Organization
MARVIN B NGWAFON DDS MFS PC
Active
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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