| Fresh Dental Group | |
|
8175 Westside Blvd Ste A Fulton MD 20759-2590 | |
| (443) 756-1011 | |
| Not Available |
| Full Name | Fresh Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8175 Westside Blvd Ste A, Fulton, Maryland |
| Authorized Official Name and Position | Eric Scott Resh (OWNER) |
| Authorized Official Contact | 4433933930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Dental Group 8175 Westside Blvd Ste A Fulton MD 20759-2590 Ph: (443) 756-1011 | Fresh Dental Group 8175 Westside Blvd Ste A Fulton MD 20759-2590 Ph: (443) 756-1011 |
| NPI Number | 1760023204 |
|---|---|
| Provider Enumeration Date | 10/07/2019 |
| Last Update Date | 10/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760023204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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