Organization · Type 2 NPI
Mukkara Hagerstown LLC
Orthodontics and Dentofacial Orthopedics Dentistry · Hagerstown, MD
Practice location
322 E Antietam St Ste 103
Hagerstown, MD 21740-5736
Fax (301) 733-1553
Mailing address
7 Kilglass Ct Apt 102
Lutherville Timonium, MD 21093-7782
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | None listed |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1164094330
Mukkara Hagerstown LLC's National Provider Identifier is 1164094330, issued on Jul 15, 2021. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Hagerstown, MD. The record was last updated on Jul 15, 2021.