Lake Shore Family Dental | |
4330 Mountain Rd Pasadena MD 21122-4520 | |
(410) 255-8001 | |
(410) 255-0687 |
Full Name | Lake Shore Family Dental |
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Speciality | Clinic/center - Dental |
Location | 4330 Mountain Rd, Pasadena, Maryland |
Authorized Official Name and Position | Walter S Hong (PRESIDENT) |
Authorized Official Contact | 4102558001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lake Shore Family Dental 4330 Mountain Rd Pasadena MD 21122-4520 Ph: (410) 255-8001 | Lake Shore Family Dental 4330 Mountain Rd Pasadena MD 21122-4520 Ph: (410) 255-8001 |
NPI Number | 1063558617 |
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Provider Enumeration Date | 01/30/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1063558617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 13307 (Maryland) | Primary |
Jeffrey H. Greenstein, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8651 Fort Smallwood Rd, Suite 4, Pasadena, MD 21122 Phone: 410-437-3773 Fax: 410-437-5302 | |
Ulery Dental And Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8055 Ritchie Hwy Ste 102, Pasadena, MD 21122 Phone: 410-590-6690 Fax: 410-590-1693 | |
Kenneth Mangano, Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8025 Ritchie Hwy, Suite 204, Pasadena, MD 21122 Phone: 410-766-3453 Fax: 410-766-3454 | |
Howard A. Katz, D.d.s. & Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2705 Mountain Rd, Pasadena, MD 21122 Phone: 410-255-1050 Fax: 410-255-4442 | |
Pasadena Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8556 Fort Smallwood Rd # B, Pasadena, MD 21122 Phone: 410-360-5116 Fax: 410-360-6476 | |
Driscoll Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8556 Fort Smallwood Rd Ste B, Pasadena, MD 21122 Phone: 410-360-5116 |