| Monocacy Valley Dental | |
|
65b Thomas Johnson Drive Frederick MD 21702-4371 | |
| (301) 698-0044 | |
| (301) 698-1440 |
| Full Name | Monocacy Valley Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 65b Thomas Johnson Drive, Frederick, Maryland |
| Authorized Official Name and Position | Brian K Motz (OWNER) |
| Authorized Official Contact | 3016980044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monocacy Valley Dental 65b Thomas Johnson Drive Frederick MD 21702 Ph: (301) 698-0044 | Monocacy Valley Dental 65b Thomas Johnson Drive Frederick MD 21702-4371 Ph: (301) 698-0044 |
| NPI Number | 1003274382 |
|---|---|
| Provider Enumeration Date | 02/02/2016 |
| Last Update Date | 02/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003274382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14095 (Maryland) | Primary |
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