| David Bonebreak Dds Ms Llc | |
|
7556 Teague Rd Suite 106 Hanover MD 21076-1213 | |
| (410) 799-8220 | |
| Not Available |
| Full Name | David Bonebreak Dds Ms Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7556 Teague Rd, Hanover, Maryland |
| Authorized Official Name and Position | David Bonebreak (OWNER) |
| Authorized Official Contact | 4439565814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Bonebreak Dds Ms Llc 100 Harborview Dr Unit 1309 Baltimore MD 21230-5415 Ph: (443) 956-5814 | David Bonebreak Dds Ms Llc 7556 Teague Rd Suite 106 Hanover MD 21076-1213 Ph: (410) 799-8220 |
| NPI Number | 1083093322 |
|---|---|
| Provider Enumeration Date | 05/20/2015 |
| Last Update Date | 05/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083093322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 14232 (Maryland) | Primary |
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