Children's Dentistry At Odenton | |
1215 Annapolis Rd Suite 106 Odenton MD 21113-1344 | |
(410) 672-1100 | |
(410) 672-1107 |
Full Name | Children's Dentistry At Odenton |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1215 Annapolis Rd, Odenton, Maryland |
Authorized Official Name and Position | Maria Sevilla Guevara (PRESIDENT) |
Authorized Official Contact | 4106721100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Children's Dentistry At Odenton 1215 Annapolis Rd Suite 106 Odenton MD 21113-1344 Ph: (410) 672-1100 | Children's Dentistry At Odenton 1215 Annapolis Rd Suite 106 Odenton MD 21113-1344 Ph: (410) 672-1100 |
NPI Number | 1376820654 |
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Provider Enumeration Date | 11/14/2011 |
Last Update Date | 11/14/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376820654 | NPI | - | NPPES |
135705100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 12374 (Maryland) | Primary |
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