| Logos Dental | |
|
130 E Pulaski Hwy Elkton MD 21921-6430 | |
| (443) 350-9221 | |
| Not Available |
| Full Name | Logos Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 130 E Pulaski Hwy, Elkton, Maryland |
| Authorized Official Name and Position | David Kim (PRESIDENT) |
| Authorized Official Contact | 4433509221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Logos Dental 130 E Pulaski Hwy Elkton MD 21921-6430 Ph: (443) 350-9221 | Logos Dental 130 E Pulaski Hwy Elkton MD 21921-6430 Ph: (443) 350-9221 |
| NPI Number | 1265734743 |
|---|---|
| Provider Enumeration Date | 12/03/2010 |
| Last Update Date | 12/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265734743 | NPI | - | NPPES |
| 081934400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10839 (Maryland) | Primary |
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