| Eldersburg Pediatric Dentistry, Llc | |
|
1643 Liberty Rd Ste 103 Sykesville MD 21784-6545 | |
| (443) 609-7770 | |
| Not Available |
| Full Name | Eldersburg Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1643 Liberty Rd Ste 103, Sykesville, Maryland |
| Authorized Official Name and Position | Su Kim (OWNER) |
| Authorized Official Contact | 4436097770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eldersburg Pediatric Dentistry, Llc 1643 Liberty Rd Ste 103 Sykesville MD 21784-6545 Ph: (443) 609-7770 | Eldersburg Pediatric Dentistry, Llc 1643 Liberty Rd Ste 103 Sykesville MD 21784-6545 Ph: (443) 609-7770 |
| NPI Number | 1093412546 |
|---|---|
| Provider Enumeration Date | 02/14/2023 |
| Last Update Date | 02/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093412546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Gmdp - Eldersburg Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1137 Liberty Rd, Sykesville, MD 21784 Phone: 410-795-7484 Fax: 410-795-7726 | |
Lifetime Dental Care Of Maryland, Badger, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6400 Ridge Rd # H, Sykesville, MD 21784 Phone: 410-702-5040 |