| Pediatric Dentistry | |
|
23140 Moakley St Ste 3 Leonardtown MD 20650-2923 | |
| (301) 997-1800 | |
| (301) 997-0402 |
| Full Name | Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 23140 Moakley St Ste 3, Leonardtown, Maryland |
| Authorized Official Name and Position | Jose Juambeltz (OWNER) |
| Authorized Official Contact | 4102577676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry 23140 Moakley St Ste 3 Leonardtown MD 20650-2923 Ph: (301) 997-1800 | Pediatric Dentistry 23140 Moakley St Ste 3 Leonardtown MD 20650-2923 Ph: (301) 997-1800 |
| NPI Number | 1124892344 |
|---|---|
| Provider Enumeration Date | 11/08/2023 |
| Last Update Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124892344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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