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1255613543
BRIAN WILSON ROBERTSON
BALTIMORE, MD
NPI
1255613543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MD 000000)
Enumeration Date
2011-09-13
Last Update Date
2011-09-13
Business Address
Dr. BRIAN WILSON ROBERTSON DDS
10 N GREENE ST DENTAL CLINIC
BALTIMORE, MD 21201-1524
Phone number: 919-619-8392
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Mailing Address
Dr. BRIAN WILSON ROBERTSON DDS
28 S CARROLLTON AVE
BALTIMORE, MD 21223-2625
Phone number: 919-619-8392
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