| Kreisheh,, Llc | |
|
21 E Padonia Rd Lutherville Timonium MD 21093-2306 | |
| (410) 913-5700 | |
| (410) 842-0205 |
| Full Name | Kreisheh,, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21 E Padonia Rd, Lutherville Timonium, Maryland |
| Authorized Official Name and Position | George Kreisheh (DENTIST) |
| Authorized Official Contact | 4109135700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kreisheh,, Llc 21 E Padonia Rd Lutherville Timonium MD 21093-2306 Ph: (410) 913-5700 | Kreisheh,, Llc 21 E Padonia Rd Lutherville Timonium MD 21093-2306 Ph: (410) 913-5700 |
| NPI Number | 1558970137 |
|---|---|
| Provider Enumeration Date | 07/29/2020 |
| Last Update Date | 07/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558970137 | NPI | - | NPPES |
| 907707300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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