Belvedere Square Dental Llc | |
14 Ruby Field Ct Baltimore MD 21209-1559 | |
(201) 417-5119 | |
Not Available |
Full Name | Belvedere Square Dental Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 14 Ruby Field Ct, Baltimore, Maryland |
Authorized Official Name and Position | Helene Shapiro (DENTIST) |
Authorized Official Contact | 2014175119 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Belvedere Square Dental Llc 14 Ruby Field Ct Baltimore MD 21209-1559 Ph: (201) 417-5119 | Belvedere Square Dental Llc 14 Ruby Field Ct Baltimore MD 21209-1559 Ph: (201) 417-5119 |
NPI Number | 1104271279 |
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Provider Enumeration Date | 04/26/2016 |
Last Update Date | 04/26/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104271279 | NPI | - | NPPES |
037849600 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 14458 (Maryland) | Primary |
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› Verified 9 days ago
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