| Bethany Serafin Awalt, Dmd, Pa | |
|
2 Reservoir Circle Suite 103 Pikesville MD 21208 | |
| (410) 581-9008 | |
| (410) 581-6720 |
| Full Name | Bethany Serafin Awalt, Dmd, Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2 Reservoir Circle, Pikesville, Maryland |
| Authorized Official Name and Position | Bethany S Awalt (OWNER) |
| Authorized Official Contact | 4105819008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Serafin Awalt, Dmd, Pa 2 Reservoir Circle Suite 103 Pikesville MD 21208 Ph: (410) 581-9008 | Bethany Serafin Awalt, Dmd, Pa 2 Reservoir Circle Suite 103 Pikesville MD 21208 Ph: (410) 581-9008 |
| NPI Number | 1376861088 |
|---|---|
| Provider Enumeration Date | 05/06/2010 |
| Last Update Date | 05/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376861088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 14054 (Maryland) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4876 (Maryland) | Primary |
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