Individual
DR. BYRON AUSTIN BONEBREAK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D. M.S.
Contact information
Practice address
8191 MAPLE LAWN BLVD STE E, FULTON, MD 20759-2535
(410) 381-1077
Mailing address
12240 PLEASANT SPRINGS CT, FULTON, MD 20759-9647
(410) 381-1077
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6368
MD
Other
Enumeration date
02/03/2011
Last updated
03/17/2018
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