Joel I Nathanson Dmd Magd PA

NPI #1639189764 in Hunt Valley, Maryland

Provider Information

NPI Number: 1639189764
Entity Type: Organization
Organization Name: Joel I Nathanson Dmd Magd PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 9, 2006
Last Updated: Oct 24, 2013

Practice Location

Address: 5 SHAWAN RD
Address 2: 2ND FLOOR
City: Hunt Valley
State: Maryland
ZIP Code: 21030-1373
Phone: (410) 891-8547

Authorized Official

Name: DR. JOEL I NATHANSON, D.M.D., M.A.G.D.
Title: PRESIDENT
Phone: (410) 891-8547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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