Kids Dental Space, Llc | |
7402 York Rd Ste 204 Towson MD 21204-7520 | |
(301) 537-5536 | |
Not Available |
Full Name | Kids Dental Space, Llc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 7402 York Rd Ste 204, Towson, Maryland |
Authorized Official Name and Position | Roxanne Patreace Clarke (PEDIATRIC DENTIST/OWNER) |
Authorized Official Contact | 3015375536 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kids Dental Space, Llc 8617 Goldenwood Rd Rosedale MD 21237-2032 Ph: (301) 537-5536 | Kids Dental Space, Llc 7402 York Rd Ste 204 Towson MD 21204-7520 Ph: (301) 537-5536 |
NPI Number | 1932840220 |
---|---|
Provider Enumeration Date | 04/02/2022 |
Last Update Date | 04/02/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932840220 | NPI | - | NPPES |
046568200 | Medicaid | MD | |
1326279829 | Other | MD | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Mazikas&barclay Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 Kenilworth Dr Ste 205, Towson, MD 21204 Phone: 410-823-1005 Fax: 410-825-2219 | |
Niu Dentistry Towson Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7801 York Rd Ste 307, Towson, MD 21204 Phone: 410-823-1751 | |
Town Center Cosmetic Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 E Joppa Rd Ste 200, Towson, MD 21286 Phone: 410-828-8000 Fax: 410-828-8001 | |
Robert G. Ray D.m.d Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8600 Lasalle Rd, Suite 630, Towson, MD 21286 Phone: 410-494-4344 | |