Ib Dental I, P.C.
Dentist, General Practice in Baltimore, MD. Organization (NPI-2).
NPI number1083014591
StatusActive
Last updated in NPPESSep 4, 2014
Details
- NPI
- 1083014591
- Entity type
- Organization (NPI-2)
- Legal business name
- Ib Dental I, P.C.
- Organization subpart
- No
- Enumeration date
- Sep 3, 2014
- Last updated
- Sep 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 14139 | MD | Yes |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 14139 | MD | |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 14139 | MD |
Other names
- Ibrush Family Dental Care (Doing Business As)
Practice location
6105 Harford RdBaltimore, MD 21214-1312
Phone 410-254-5437 · Fax 410-254-5310
Mailing address
6105 Harford RdBaltimore, MD 21214-1312
Phone 410-254-5437 · Fax 410-254-5310
Authorized official
Robert Dayse
Owner/Director
4102545437
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