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Individual

PAUL J KINSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
515 BENFIELD ROAD, SUITE 202, SEVERNA PARK, MD 21146-2519
(410) 544-4012
(410) 544-4019
Mailing address
515 BENFIELD ROAD, SUITE 202, SEVERNA PARK, MD 21146-2519
(410) 544-4012
(410) 544-4019

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9467
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
104698
UNITED CONCORDIA
MD
01
9873
CAREFIRST
MD
Enumeration date
12/05/2006
Last updated
07/08/2007
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