Provider First Line Business Practice Location Address:
650 W. BALTIMORE ST., RM 7205
Provider Second Line Business Practice Location Address:
UNIVERSITY OF MARYLAND DENTAL SCHOOL
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-706-7629
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/06/2011