| Central Maryland Oral And Facial Surgical Arts Of Clarksville, Llc | |
|
12431 Clarksville Pike, Route 108 Clarksville MD 21029 | |
| (562) 293-7339 | |
| Not Available |
| Full Name | Central Maryland Oral And Facial Surgical Arts Of Clarksville, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 12431 Clarksville Pike, Route 108, Clarksville, Maryland |
| Authorized Official Name and Position | Mary Carter Robinson (DDS) |
| Authorized Official Contact | 5622937339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Maryland Oral And Facial Surgical Arts Of Clarksville, Llc 12431 Clarksville Pike, Route 108 Clarksville MD 21029 Ph: (562) 293-7339 | Central Maryland Oral And Facial Surgical Arts Of Clarksville, Llc 12431 Clarksville Pike, Route 108 Clarksville MD 21029 Ph: (562) 293-7339 |
| NPI Number | 1710436407 |
|---|---|
| Provider Enumeration Date | 09/23/2016 |
| Last Update Date | 09/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710436407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 15559 (Maryland) | Primary |
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