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Individual

HARISHWER BALASUBRAMANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
151 BISHOP MURPHY DR STE A, FROSTBURG, MD 21532-1329
(301) 689-6780
Mailing address
151 BISHOP MURPHY DR STE A, FROSTBURG, MD 21532-1329
(301) 689-6780

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17592
MD

Other

Enumeration date
08/02/2022
Last updated
08/02/2022
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