Terry E Dornburg, DDS

NPI #1003817677 in Grantsville, Maryland

Provider Information

NPI Number: 1003817677
Entity Type: Individual
Name: Terry E Dornburg, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 4, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 124 MILLER ST
City: Grantsville
State: Maryland
ZIP Code: 21536
Phone: (301) 895-5955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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