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12230 Clarksville Pike Clarksville MD 21029-1477 | |
(410) 381-1077 | |
Not Available |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 12230 Clarksville Pike, Clarksville, Maryland |
Authorized Official Name and Position | Casey Lonabocker (VP OPERATIONS & STRATEGY) |
Authorized Official Contact | 6175353364 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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131 Dartmouth St Fl 3 Boston MA 02116-5297 Ph: () - | 12230 Clarksville Pike Clarksville MD 21029-1477 Ph: (410) 381-1077 |
NPI Number | 1104586742 |
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Provider Enumeration Date | 12/22/2021 |
Last Update Date | 11/20/2024 |
Identifier | Type | State | Issuer |
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1104586742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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