Angel Dental | |
405 Frederick Rd Suite 150 Catonsville MD 21228-4645 | |
(410) 747-0077 | |
Not Available |
Full Name | Angel Dental |
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Speciality | Clinic/center - Dental |
Location | 405 Frederick Rd, Catonsville, Maryland |
Authorized Official Name and Position | Robert Dayse (PRESIDENT/CEO) |
Authorized Official Contact | 2022971500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Angel Dental Po Box 1848 Ib Dental Iv Hyattsville MD 20788-0848 Ph: (202) 297-1500 | Angel Dental 405 Frederick Rd Suite 150 Catonsville MD 21228-4645 Ph: (410) 747-0077 |
NPI Number | 1164958534 |
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Provider Enumeration Date | 05/04/2017 |
Last Update Date | 05/04/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164958534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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