| Judd Dentistry Pa | |
|
8860 Columbia 100 Pkwy Suite 106 Columbia MD 21045-2195 | |
| (410) 884-5833 | |
| (410) 884-5836 |
| Full Name | Judd Dentistry Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8860 Columbia 100 Pkwy, Columbia, Maryland |
| Authorized Official Name and Position | Keisha Patrice Bruney Judd (OWNER) |
| Authorized Official Contact | 4108845833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Judd Dentistry Pa 8860 Columbia 100 Pkwy Suite 106 Columbia MD 21045-2195 Ph: (410) 884-5833 | Judd Dentistry Pa 8860 Columbia 100 Pkwy Suite 106 Columbia MD 21045-2195 Ph: (410) 884-5833 |
| NPI Number | 1679629828 |
|---|---|
| Provider Enumeration Date | 01/27/2007 |
| Last Update Date | 08/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679629828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13389 (Maryland) | Primary |
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