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NPI Code Detail

MEDICARE: DR. LINA JARBOE DDS, PA

MEDICARE:  DR. LINA  JARBOE  DDS, PA
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
11223E0200XEndodontics9584MD

General Provider Information

NPI Number : 1568563195
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINA JARBOE DDS, PA
Provider Business Mailing Address
First Line : 6021 UNIVERSITY BLVD
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-6077
Country : US
Telephone Number : 410-203-1800
Fax Number :
Provider Business Practice Location Address
First Line : 6021 UNIVERSITY BLVD
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-6077
Country : US
Telephone Number : 410-203-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 07/08/2007

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Directions to “ DR. LINA JARBOE DDS, PA” Practice Location

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