| Chartwell Dental Group | |
|
8180 Lark Brown Rd Suite 202 Elkridge MD 21075-6425 | |
| (410) 799-7172 | |
| (410) 799-7132 |
| Full Name | Chartwell Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 8180 Lark Brown Rd, Elkridge, Maryland |
| Authorized Official Name and Position | Azita Davanlou (OWNER) |
| Authorized Official Contact | 4107997172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chartwell Dental Group 8180 Lark Brown Rd Suite 202 Elkridge MD 21075-6425 Ph: (410) 799-7172 | Chartwell Dental Group 8180 Lark Brown Rd Suite 202 Elkridge MD 21075-6425 Ph: (410) 799-7172 |
| NPI Number | 1013133370 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013133370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12454 (Maryland) | Primary |
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