Organization Name: | DELICATE DENTAL OF MD PA |
NPI Number: | 1386779239 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTONINO BARBARO (DENTIST OWNER) |
Mailing Address: | 1071 Md Rt 3 N Suite 201 Gambrills |
State: | MD US |
Postal Code: | 210541784 |
Phone Number: | 4107218777 |
Fax Number: | 4107215153 |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 01/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | MD 11133 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |