Organization
DRS. PORAC & BACHTELL FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JOSEPH PORAC DDS (MANAGING PARTNER)
(301) 739-8081
Entity
Organization
Contact information
Practice address
1125 DIAMOND DR, HAGERSTOWN, MD 21740-5857
(301) 739-8081
(301) 739-8082
Mailing address
1125 DIAMOND DR, HAGERSTOWN, MD 21740-5857
(301) 739-8081
(301) 739-8082
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6964
MD
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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