Advanced Dental Care Llc. | |
122 N Philadelphia Blvd Aberdeen MD 21001-2513 | |
(410) 272-2636 | |
(410) 272-8587 |
Full Name | Advanced Dental Care Llc. |
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Speciality | Dentist - General Practice |
Location | 122 N Philadelphia Blvd, Aberdeen, Maryland |
Authorized Official Name and Position | Kerry Crocken (OWNER) |
Authorized Official Contact | 4102722636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Advanced Dental Care Llc. 122 N Philadelphia Blvd Aberdeen MD 21001-2513 Ph: (410) 272-2636 | Advanced Dental Care Llc. 122 N Philadelphia Blvd Aberdeen MD 21001-2513 Ph: (410) 272-2636 |
NPI Number | 1245475243 |
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Provider Enumeration Date | 12/05/2008 |
Last Update Date | 12/05/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245475243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 134220345 (Maryland) | Primary |
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