Individual
DR. DANIEL BENJAMIN SARUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3110 LORD BALTIMORE DR, SUITE 100, BALTIMORE, MD 21244-2869
(410) 594-9500
(410) 594-9216
Mailing address
3110 LORD BALTIMORE DR, SUITE 100, BALTIMORE, MD 21244-2869
(410) 594-9500
(410) 594-9216
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11624
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578667747
FACILITY NPI
MD
Enumeration date
08/05/2010
Last updated
08/05/2010
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