Crestwood Comprehensive Dental | |
18709 Crestwood Dr Hagerstown MD 21742-2705 | |
(301) 797-6841 | |
(301) 739-7965 |
Full Name | Crestwood Comprehensive Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 18709 Crestwood Dr, Hagerstown, Maryland |
Authorized Official Name and Position | Karen Robinson (DENTAL ADMINISTRATOR) |
Authorized Official Contact | 3017976841 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Crestwood Comprehensive Dental 18709 Crestwood Dr Hagerstown MD 21742-2705 Ph: (301) 797-6841 | Crestwood Comprehensive Dental 18709 Crestwood Dr Hagerstown MD 21742-2705 Ph: (301) 797-6841 |
NPI Number | 1538623954 |
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Provider Enumeration Date | 01/30/2019 |
Last Update Date | 01/30/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538623954 | NPI | - | NPPES |
7002381001 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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