| Annapolis Pediatric Dentistry | |
|
41 Old Solomons Island Rd. Suite 3 Annapolis MD 21401 | |
| (410) 490-1980 | |
| Not Available |
| Full Name | Annapolis Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 41 Old Solomons Island Rd., Annapolis, Maryland |
| Authorized Official Name and Position | Beverly Ann Jimenez (MEMBER) |
| Authorized Official Contact | 4104901980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Annapolis Pediatric Dentistry 41 Old Solomons Island Rd. Suite 3 Annapolis MD 21401 Ph: (410) 490-1980 | Annapolis Pediatric Dentistry 41 Old Solomons Island Rd. Suite 3 Annapolis MD 21401 Ph: (410) 490-1980 |
| NPI Number | 1932477221 |
|---|---|
| Provider Enumeration Date | 12/01/2011 |
| Last Update Date | 12/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932477221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | MD-11542 (Maryland) | Primary |
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