Organization
PADOUSIS & KAMINARIS DDS PA
Active
Other names
Rosedale Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANTINE J KAMINARIS DDS (VICE PRESIDENT)
(410) 866-6660
Entity
Organization
Contact information
Practice address
6304 KENWOOD AVENUE, SUITE 5, BALTIMORE, MD 21237
(410) 866-6660
(410) 866-1557
Mailing address
6304 KENWOOD AVENUE, SUITE 5, BALTIMORE, MD 21237
(410) 866-6660
(410) 866-1557
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130210
CIGNA HMO
MD
01
—
19584
AETNA HMO
MD
01
—
4976
CAREFIRST BCBS
MD
01
—
588871
UNITED CONCORDIA
MD
Enumeration date
07/20/2006
Last updated
08/22/2020
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