| Highlandtown Dental Group, Llc | |
|
3715 Eastern Ave Baltimore MD 21224-4208 | |
| (410) 327-5488 | |
| Not Available |
| Full Name | Highlandtown Dental Group, Llc |
|---|---|
| Speciality | Dentist |
| Location | 3715 Eastern Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Vladimir Semerey (MANAGER) |
| Authorized Official Contact | 4106850002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highlandtown Dental Group, Llc 3715 Eastern Ave Baltimore MD 21224-4208 Ph: (410) 327-5488 | Highlandtown Dental Group, Llc 3715 Eastern Ave Baltimore MD 21224-4208 Ph: (410) 327-5488 |
| NPI Number | 1255948048 |
|---|---|
| Provider Enumeration Date | 09/25/2020 |
| Last Update Date | 09/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255948048 | NPI | - | NPPES |
| 111047100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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› Verified 4 days ago
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