Conklin & Ward Dental Group, PA
Dentist, General Practice in Baltimore, MD. Organization (NPI-2).
NPI number1366825762
StatusActive
Last updated in NPPESJul 2, 2015
Details
- NPI
- 1366825762
- Entity type
- Organization (NPI-2)
- Legal business name
- Conklin & Ward Dental Group, PA
- Organization subpart
- No
- Enumeration date
- Jul 2, 2015
- Last updated
- Jul 2, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Ward, Byrne And Conklin Dental Group (Doing Business As)
Practice location
1104 Kenilworth Dr Ste 102Baltimore, MD 21204-3104
Phone 410-583-7010 · Fax 410-583-2272
Mailing address
1104 Kenilworth Dr Ste 102Baltimore, MD 21204-3104
Phone 410-583-7010 · Fax 410-583-2272
Authorized official
Sophia John
Business Manager
4109219504
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