Individual
JESSICA GWEN LUBEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1700 REISTERSTOWN RD, BALTIMORE, MD 21208-1416
(410) 602-1800
Mailing address
11012 VALLEY HEIGHTS DR, OWINGS MILLS, MD 21117-3055
(443) 501-3394
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13846
MD
1223G0001X
General Practice Dentistry
2901018372
MI
Other
Enumeration date
02/01/2007
Last updated
08/07/2015
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