Provider First Line Business Practice Location Address:
UMB DENTAL SCHOOL
Provider Second Line Business Practice Location Address:
650 WEST BALTIMORE STREET, 7-NORTH
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:
410-706-7625
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/20/2006