| Bel Alton Regional Dental Center | |
|
9501 Crain Hwy Bel Alton MD 20611-3146 | |
| (301) 539-7904 | |
| Not Available |
| Full Name | Bel Alton Regional Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9501 Crain Hwy, Bel Alton, Maryland |
| Authorized Official Name and Position | Willie Jerone Winfree (DENTAL DIRECTOR) |
| Authorized Official Contact | 7035934299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bel Alton Regional Dental Center 9501 Crain Hwy Bel Alton MD 20611-3146 Ph: (301) 539-7904 | Bel Alton Regional Dental Center 9501 Crain Hwy Bel Alton MD 20611-3146 Ph: (301) 539-7904 |
| NPI Number | 1083978688 |
|---|---|
| Provider Enumeration Date | 06/28/2012 |
| Last Update Date | 06/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083978688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7804 (Maryland) | Primary |