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1831101682
HENRY A FASTEAU
ELLICOTT CITY, MD
NPI
1831101682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MD 6680)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
Dr. HENRY A FASTEAU DDS
5042 DORSEY HALL DR STE 102
ELLICOTT CITY, MD 21042
Phone number: 410-964-3020
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Mailing Address
Dr. HENRY A FASTEAU DDS
14700 MUSTANG PATH
GLENWOOD, MD 21738
Phone number: 410-442-2526
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