| First Chair Dentistry For Pediatrics And Adolescents | |
|
3905 National Dr Ste 180 Burtonsville MD 20866-6103 | |
| (301) 686-3080 | |
| Not Available |
| Full Name | First Chair Dentistry For Pediatrics And Adolescents |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3905 National Dr Ste 180, Burtonsville, Maryland |
| Authorized Official Name and Position | Latavias Ellington (DENTIST) |
| Authorized Official Contact | 3016863080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Chair Dentistry For Pediatrics And Adolescents 3905 National Dr Ste 180 Burtonsville MD 20866-6103 Ph: () - | First Chair Dentistry For Pediatrics And Adolescents 3905 National Dr Ste 180 Burtonsville MD 20866-6103 Ph: (301) 686-3080 |
| NPI Number | 1114597994 |
|---|---|
| Provider Enumeration Date | 06/25/2021 |
| Last Update Date | 10/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114597994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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