Pocomoke Dental | |
102 8th St Pocomoke City MD 21851-1129 | |
(410) 957-0788 | |
(410) 957-0813 |
Full Name | Pocomoke Dental |
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Speciality | Clinic/center - Dental |
Location | 102 8th St, Pocomoke City, Maryland |
Authorized Official Name and Position | Stephen T Wagner (PRESIDENT) |
Authorized Official Contact | 4109570788 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pocomoke Dental 102 8th St Pocomoke City MD 21851-1129 Ph: (410) 957-0788 | Pocomoke Dental 102 8th St Pocomoke City MD 21851-1129 Ph: (410) 957-0788 |
NPI Number | 1215232715 |
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Provider Enumeration Date | 01/14/2011 |
Last Update Date | 09/27/2011 |
Identifier | Type | State | Issuer |
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1215232715 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 14543 (Maryland) | Primary |