| College Park Dental Associates | |
|
9009 Rhode Island Ave College Park MD 20740-1929 | |
| (301) 474-8900 | |
| Not Available |
| Full Name | College Park Dental Associates |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9009 Rhode Island Ave, College Park, Maryland |
| Authorized Official Name and Position | Yuliya Kupchenko (MANAGER) |
| Authorized Official Contact | 3014748900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| College Park Dental Associates 9009 Rhode Island Ave College Park MD 20740-1929 Ph: () - | College Park Dental Associates 9009 Rhode Island Ave College Park MD 20740-1929 Ph: (301) 474-8900 |
| NPI Number | 1548733710 |
|---|---|
| Provider Enumeration Date | 01/09/2019 |
| Last Update Date | 01/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548733710 | NPI | - | NPPES |
| 111733500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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