Organization
BERNARD L. GREENBAUM, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD GREENBAUM DDS (DENTIST)
(301) 530-3600
Entity
Organization
Contact information
Practice address
6410 ROCKLEDGE DR, 106, BETHESDA, MD 20817-1809
(310) 530-3600
Mailing address
6410 ROCKLEDGE DR, 106, BETHESDA, MD 20817-1809
(310) 530-3600
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
7748
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6362480001
PTAN
MD
Enumeration date
01/06/2012
Last updated
01/06/2012
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