Hickory & Selnick D.d.s., Llc

NPI 1427363589 - Dentist - 1223X0400X

NPI Details
NPI 1427363589
Enumeration Date 08/13/2010
Last Updated 08/13/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name WAYNE B. WAYNE
Position ORTHODONTIST
Phone (410) 740-0002
Fax (410) 740-0930
Practice Location
5082 DORSEY HALL DR
STE. 202
ELLICOTT CITY MD, 21042-7847, US
Phone (410) 740-0002
Fax (410) 740-0930
Business Location
5082 DORSEY HALL DR
STE. 202
ELLICOTT CITY MD, 21042-7847, US
Phone (410) 740-0002
Fax (410) 740-0930
Toxanomy
Taxonomy Code 1223X0400X
License State Maryland
License Number 8760
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According to our database, Hickory & Selnick D.d.s., Llc NPI is 1427363589, taxonomy code is 1223X0400X and license number is 8760, license state is located at Maryland. Hickory & Selnick D.d.s., Llc physically located at 5082 Dorsey Hall Dr, Ellicott City MD, 21042-7847. NPI Number 1033115704 has the healthcare provider type.

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1427363589 NPI number is provided on an as is basis without warranty of any kind. 1427363589 is maintained by the National Plan & Provider Enumeration System. The contents of Hickory & Selnick D.d.s., Llc are for informational purposes only.