Bally, Glen
Bally, Glen is an sole proprietor health care provider with primary practice located at 3060 Mitchellville Rd Suite 213, Bowie MD 20716-1389. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bally, Glen can be contacted via phone (301) 249-1841.Contact Information
Primary practice address
3060 Mitchellville Rd Suite 213
Bowie MD 20716-1389
Phone: (301) 249-1841
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 7384 | Maryland |
Profile Details
| NPI number | 1649611914 |
|---|---|
| LBN Legal business name | Bally, Glen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2013 |
| Last updated | Jul 15th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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