| Grace Dental Clinic, P.a. | |
|
8850 Columbia 100 Pkwy Suite 201 Columbia MD 21045-2374 | |
| (410) 997-5699 | |
| (410) 997-5633 |
| Full Name | Grace Dental Clinic, P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8850 Columbia 100 Pkwy, Columbia, Maryland |
| Authorized Official Name and Position | Christopher Keunyoung Yoo (DENTIST) |
| Authorized Official Contact | 4109975699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Dental Clinic, P.a. 8850 Columbia 100 Pkwy Suite 201 Columbia MD 21045-2374 Ph: (410) 997-5699 | Grace Dental Clinic, P.a. 8850 Columbia 100 Pkwy Suite 201 Columbia MD 21045-2374 Ph: (410) 997-5699 |
| NPI Number | 1578736955 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578736955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 13555 (Maryland) | Primary |
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