Jose Carlos Juambeltz in Gambrills - Pediatric Dentistry
Jose Carlos Juambeltz - NPI 1083681191
Jose Carlos Juambeltz is a Pediatric Dentistry in Gambrills, Maryland. Jose Carlos Juambeltz practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Jose Carlos Juambeltz is 1083681191. The last update date is 2007-07-08.
Jose Carlos Juambeltz's current location address is 1721 Justin Dr, Gambrills, Maryland. You can contact this provider via phone number 4104511879. The mailing address for Jose Carlos Juambeltz is 1721 Justin Dr, Gambrills, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jose Carlos Juambeltz |
|---|---|
| Address | 1721 Justin Dr, Gambrills, Maryland |
| Phone Number | 4104511879 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1083681191 |
|---|---|
| Provider Enumeration Date | 2006-03-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1721 Justin Dr |
|---|---|
| City | Gambrills |
| State | Maryland (MD) |
| Post Code | 21054 |
| Phone Number | 4104511879 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 11030 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Where is the Jose Carlos Juambeltz located?
The Jose Carlos Juambeltz is located at 1721 Justin Dr, Gambrills, MD 21054.
Could you please provide the complete physical location address of Jose Carlos Juambeltz?
The Jose Carlos Juambeltz is physically situated at 1721 Justin Dr, in the city of Gambrills, state of MD, with the postal code 21054.
When was the Jose Carlos Juambeltz's 1083681191 issued?
The Jose Carlos Juambeltz's 1083681191 was issued on 2006-03-07.
On what date did the Centers for Medicare & Medicaid Services issue the 1083681191 to Jose Carlos Juambeltz?
The Jose Carlos Juambeltz received its 1083681191 assignment from the Centers for Medicare & Medicaid Services on 2006-03-07.
When was the information pertaining to Jose Carlos Juambeltz most recently updated or revised?
The details related to Jose Carlos Juambeltz, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.