Odenton Station Dental | |
1110 Town Center Blvd Ste H Odenton MD 21113-1232 | |
(410) 874-2222 | |
(443) 856-2745 |
Full Name | Odenton Station Dental |
---|---|
Speciality | Dentist |
Location | 1110 Town Center Blvd Ste H, Odenton, Maryland |
Authorized Official Name and Position | April Calton (OWNER) |
Authorized Official Contact | 4108742222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Odenton Station Dental 1110 Town Center Blvd Ste H Odenton MD 21113-1232 Ph: (410) 874-2222 | Odenton Station Dental 1110 Town Center Blvd Ste H Odenton MD 21113-1232 Ph: (410) 874-2222 |
NPI Number | 1083006951 |
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Provider Enumeration Date | 03/02/2015 |
Last Update Date | 03/02/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083006951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 12921 (Maryland) | Primary |
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