| Good Samaritan Dental & Surgical Assoc | |
|
5601 Loch Raven Blvd. Suite 209 Baltimore MD 21239 | |
| (410) 532-4900 | |
| (410) 532-4951 |
| Full Name | Good Samaritan Dental & Surgical Assoc |
|---|---|
| Speciality | Dentist |
| Location | 5601 Loch Raven Blvd., Baltimore, Maryland |
| Authorized Official Name and Position | Ross Dymond (DENTIST) |
| Authorized Official Contact | 4105324900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Dental & Surgical Assoc 5601 Loch Raven Blvd. Suite 209 Baltimore MD 21239 Ph: (410) 532-4900 | Good Samaritan Dental & Surgical Assoc 5601 Loch Raven Blvd. Suite 209 Baltimore MD 21239 Ph: (410) 532-4900 |
| NPI Number | 1184847758 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184847758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9971 (Maryland) | Primary |
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