JESSUP DENTAL ASSOCIATES T/A BLANK RIVERA PA

ELKRIDGE, MD
NPI1154374676
Entity TypeOrganization
Authorized ContactEMILIO ENRIQUE RIVERA
President
410-799-2692
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MD  7902)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: MD  8363)
Enumeration Date2006-05-18
Last Update Date2020-08-22
Business Address
JESSUP DENTAL ASSOCIATES T/A BLANK RIVERA PA
8182 LARK BROWN RD SUITE 101
ELKRIDGE, MD 21075-6420
Phone number: 410-799-2692
Mailing Address
JESSUP DENTAL ASSOCIATES T/A BLANK RIVERA PA
8182 LARK BROWN RD SUITE 101
ELKRIDGE, MD 21075-6420
Phone number: 410-799-2692