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General NPI Number Information
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NPI Number | 1386779239
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Entity Type | Organization
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Legal Business Name | DELICATE DENTAL OF MARYLAND, P.C.
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 03/14/2017
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Provider Practice Location Address
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Address Line | 1071 MD RT 3 N SUITE 201
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City | GAMBRILLS
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State | MD
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Zip | 21054-1784
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Country | US
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Telephone | 410-721-8777
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Fax | 410-721-5153
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Provider Business Mailing Address
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Address Line | 1071 MD RT 3 N SUITE 201
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City | GAMBRILLS
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State | MD
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Zip | 21054-1784
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Country | US
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Telephone | 410-721-8777
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Fax | 410-721-5153
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DR. ANTONINO BARBARO
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Credential | DDS
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Telephone | 410-721-8777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | MD 11133
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License Number State | MD
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