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101 Chesapeake Blvd Ste A Elkton MD 21921-6607 | |
(410) 398-9230 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 101 Chesapeake Blvd Ste A, Elkton, Maryland |
Authorized Official Name and Position | Mike Cole (VP INSURANCE PLAN MANAGEMENT) |
Authorized Official Contact | 7274242990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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101 Chesapeake Blvd Ste A Elkton MD 21921-6607 Ph: () - | 101 Chesapeake Blvd Ste A Elkton MD 21921-6607 Ph: (410) 398-9230 |
NPI Number | 1922353663 |
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Provider Enumeration Date | 07/18/2012 |
Last Update Date | 03/28/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922353663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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