Vanguard Orthodontics LLC

NPI #1629583943 in Fulton, Maryland

Provider Information

NPI Number: 1629583943
Entity Type: Organization
Organization Name: Vanguard Orthodontics LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 8, 2017
Last Updated: Mar 17, 2018

Practice Location

Address: 8191 MAPLE LAWN BLVD STE E
City: Fulton
State: Maryland
ZIP Code: 20759-2535
Phone: (410) 381-1077

Authorized Official

Name: DR. DAVID BYRON BONEBREAK, DDS
Title: OWNER
Phone: (410) 381-1077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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