| Frederick Family And Cosmetic Dentistry | |
|
198 Thomas Johnson Dr Suite 18 Frederick MD 21702-4398 | |
| (301) 644-8006 | |
| Not Available |
| Full Name | Frederick Family And Cosmetic Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 198 Thomas Johnson Dr, Frederick, Maryland |
| Authorized Official Name and Position | Riku Mukherjee (OWNER) |
| Authorized Official Contact | 4437945628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Family And Cosmetic Dentistry 198 Thomas Johnson Dr Suite 18 Frederick MD 21702-4398 Ph: (301) 644-8006 | Frederick Family And Cosmetic Dentistry 198 Thomas Johnson Dr Suite 18 Frederick MD 21702-4398 Ph: (301) 644-8006 |
| NPI Number | 1063786044 |
|---|---|
| Provider Enumeration Date | 03/08/2012 |
| Last Update Date | 03/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063786044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 15087 (Maryland) | Primary |
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