| Pediatric Dental Center Of Frederick, Llc | |
|
7360 Guilford Dr 102 Frederick MD 21704-5124 | |
| (301) 668-2662 | |
| Not Available |
| Full Name | Pediatric Dental Center Of Frederick, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7360 Guilford Dr, Frederick, Maryland |
| Authorized Official Name and Position | Robert W Mansman (OWNER) |
| Authorized Official Contact | 3016682662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Center Of Frederick, Llc 7360 Guilford Dr Suite 102 Frederick MD 21704-5124 Ph: (301) 668-2662 | Pediatric Dental Center Of Frederick, Llc 7360 Guilford Dr 102 Frederick MD 21704-5124 Ph: (301) 668-2662 |
| NPI Number | 1114094398 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 01/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114094398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 14165 (Maryland) | Primary |
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