Individual
DR. NATHANIEL FOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8815 CENTRE PARK DR STE 310, COLUMBIA, MD 21045-2299
(410) 730-3311
Mailing address
8815 CENTRE PARK DR STE 310, COLUMBIA, MD 21045-2299
(410) 730-3311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15415
MD
Other
Enumeration date
12/09/2013
Last updated
11/19/2017
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