| Ccdental, Llc | |
|
7810 Wormans Mill Road Ste D Frederick MD 21701 | |
| (301) 378-2595 | |
| (301) 378-2729 |
| Full Name | Ccdental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7810 Wormans Mill Road, Frederick, Maryland |
| Authorized Official Name and Position | Michael Pesin (PARTNER) |
| Authorized Official Contact | 3013782595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccdental, Llc 7810 Wormans Mill Road Ste D Frederick MD 21701 Ph: (013) 378-2595 | Ccdental, Llc 7810 Wormans Mill Road Ste D Frederick MD 21701 Ph: (301) 378-2595 |
| NPI Number | 1518789254 |
|---|---|
| Provider Enumeration Date | 10/24/2024 |
| Last Update Date | 10/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518789254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Frederick Family And Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 198 Thomas Johnson Dr, Suite 18, Frederick, MD 21702 Phone: 301-644-8006 | |
Stanley J Robison Dds Ms Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2090 Old Farm Dr, Suite F, Frederick, MD 21702 Phone: 301-662-0181 | |
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