Jhu - Dental/oral Surgery | |
600 N Wolfe St Baltimore MD 21205-2101 | |
(410) 614-1732 | |
Not Available |
Full Name | Jhu - Dental/oral Surgery |
---|---|
Speciality | Dentist - General Practice |
Location | 600 N Wolfe St, Baltimore, Maryland |
Authorized Official Name and Position | Shavonda L Keating (SR PRODUCTION UNIT MGR) |
Authorized Official Contact | 4109336430 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jhu - Dental/oral Surgery Po Box 64767 Baltimore MD 21264-4767 Ph: () - | Jhu - Dental/oral Surgery 600 N Wolfe St Baltimore MD 21205-2101 Ph: (410) 614-1732 |
NPI Number | 1033190442 |
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Provider Enumeration Date | 11/11/2005 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033190442 | NPI | - | NPPES |
768504100 | Medicaid | MD | |
450371600 | Medicaid | MD | |
CD6080 | Other | MD | RRMC |
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