Organization
DR. OLGA BACZARA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY A KAUFFMAN (PATIENT COORDINATOR)
(410) 451-2687
Entity
Organization
Contact information
Practice address
2401 BRANDERMILL BLVD., STE. 140, GAMBRILLS, MD 21054
(410) 451-5600
Mailing address
2401 BRANDERMILL BLVD., STE. 140, GAMBRILLS, MD 21054
(410) 451-5600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12765
MD
Other
Enumeration date
08/17/2009
Last updated
12/03/2009
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