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Organization

MARY TEDDY WRAY DDS DBA TOWSON EXTREME SMILES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY TEDDY WRAY (OWNER)
(410) 296-7599
Entity
Organization

Contact information

Practice address
8501 LASALLE RD, SUITE 306, TOWSON, MD 21286-5914
(410) 296-7599
(410) 583-9185
Mailing address
8501 LASALLE RD, SUITE 306, TOWSON, MD 21286-5914
(410) 296-7599
(410) 583-9185

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10773
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
55774
MD
Enumeration date
02/27/2007
Last updated
06/17/2008
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