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Individual

JAMES DELANEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2 VILLAGE SQ STE 219, BALTIMORE, MD 21210-1624
(410) 764-7764
Mailing address
PO BOX 1417, BROOKLANDVILLE, MD 21022-1417

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11137
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1396811683
ORGANIZATIONAL NPI
MD
Enumeration date
02/03/2016
Last updated
02/03/2016
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