Provider First Line Business Practice Location Address:
650 W BALTIMORE, UNIVERSITY OF MARYLAND DENTAL SCHOOL
Provider Second Line Business Practice Location Address:
DEPARTMENT OF ENDODONTICS, PROSTHODONTICS & OPER. DENT.
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:
410-706-7285
Provider Business Practice Location Address Fax Number:
410-706-3028
Provider Enumeration Date:
03/28/2007