Byron Bonebreak Dmd Llc | |
100 Harborview Dr Unit 1309 Baltimore MD 21230-5415 | |
(443) 956-5814 | |
(410) 779-7775 |
Full Name | Byron Bonebreak Dmd Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 100 Harborview Dr, Baltimore, Maryland |
Authorized Official Name and Position | David Bonebreak (ASSOCIATE) |
Authorized Official Contact | 4439565814 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Byron Bonebreak Dmd Llc 100 Harborview Dr Unit 1309 Baltimore MD 21230-5415 Ph: (443) 956-5814 | Byron Bonebreak Dmd Llc 100 Harborview Dr Unit 1309 Baltimore MD 21230-5415 Ph: (443) 956-5814 |
NPI Number | 1447649900 |
---|---|
Provider Enumeration Date | 01/21/2015 |
Last Update Date | 01/21/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447649900 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 6368 (Maryland) | Primary |
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