Organization
MARYLAND ENDODONTIC GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ALAN LIEBERMAN D.D.S. (PRESIDENT)
(410) 252-3900
Entity
Organization
Contact information
Practice address
22 W PADONIA RD, SUITE C-244, TIMONIUM, MD 21093-2226
(410) 252-3900
(410) 252-6051
Mailing address
22 W PADONIA RD, SUITE C-244, TIMONIUM, MD 21093-2226
(410) 252-3900
(410) 252-6051
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
6162
MD
Other
Enumeration date
02/19/2007
Last updated
02/23/2013
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