Burwood Village Dentistry LLC
NPI #1396507588 in Glen Burnie, Maryland
Provider Information
- NPI Number
- 1396507588
- Entity Type
- Organization
- Organization Name
- Burwood Village Dentistry LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 24, 2024
- Last Updated
- Jan 24, 2024
Practice Location
- Address
- 1608 W FURNACE BRANCH RD STE A
- City
- Glen Burnie
- State
- Maryland
- ZIP Code
- 21061-1411
- Phone
- (410) 859-1038
Authorized Official
- Name
- ISHTIAQ ROUF
- Title
- MANAGER
- Phone
- (617) 817-0681
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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