Provider Demographics
NPI:1639812217
Name:WESTMINSTER DENTAL
Entity Type:Organization
Organization Name:WESTMINSTER DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MONIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MIISTRY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:443-652-2238
Mailing Address - Street 1:514 ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1310
Mailing Address - Country:US
Mailing Address - Phone:443-652-2238
Mailing Address - Fax:
Practice Address - Street 1:826 WASHINGTON RD STE 104
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5779
Practice Address - Country:US
Practice Address - Phone:410-857-5755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental