Acosta, Rafael Antonio

Acosta, Rafael Antonio is an sole proprietor health care provider with primary practice located at 7905 Malcolm Rd Ste 300 , Clinton MD 20735. He recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Endodontics is his primary health care specialty. Acosta, Rafael Antonio can be contacted via phone (301) 868-5500.

Contact Information

Primary practice address
7905 Malcolm Rd Ste 300 Clinton MD 20735
Phone: (301) 868-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 15692 Maryland
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1902232614
LBN Legal business name Acosta, Rafael Antonio
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2013
Last updated Jul 21st, 2022 - about 2 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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