Individual
DR. JONATHAN T SOISTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
605 BALTIMORE ANNAPOLIS BLVD, SEVERNA PARK, MD 21146-3930
(410) 647-1875
Mailing address
605 BALTIMORE ANNAPOLIS BLVD, SEVERNA PARK, MD 21146-3930
(410) 647-1875
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15085
MD
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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