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NPI Code Detail

MEDICARE: DR. ROBERTA J. DOSH D.D.S.

MEDICARE:  DR. ROBERTA J. DOSH  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry11565MD

General Provider Information

NPI Number : 1154365427
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERTA J. DOSH D.D.S.
Provider Business Mailing Address
First Line : 8408 GOVERNOR BRADFORD LN
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-3452
Country : US
Telephone Number : 410-465-9288
Fax Number : 301-421-4246
Provider Business Practice Location Address
First Line : 3905 NATIONAL DR
Second Line : SUITE 340
City : BURTONSVILLE
State : MD
Zip : 20866-1100
Country : US
Telephone Number : 301-421-1300
Fax Number : 301-421-4246
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ROBERTA J. DOSH D.D.S.” Practice Location

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