| De Endodontics | |
|
8808 Centre Park Dr Ste 210 Columbia MD 21045-2221 | |
| (410) 772-9600 | |
| (410) 772-0830 |
| Full Name | De Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 8808 Centre Park Dr Ste 210, Columbia, Maryland |
| Authorized Official Name and Position | Dov Elman (OWNER) |
| Authorized Official Contact | 4437567887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| De Endodontics 8808 Centre Park Dr Ste 210 Columbia MD 21045-2221 Ph: (410) 772-9600 | De Endodontics 8808 Centre Park Dr Ste 210 Columbia MD 21045-2221 Ph: (410) 772-9600 |
| NPI Number | 1457810707 |
|---|---|
| Provider Enumeration Date | 03/17/2019 |
| Last Update Date | 03/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457810707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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