| Professional Dental Associates Llc | |
|
615 W Macphail Rd Ste 208 Bel Air MD 21014-4469 | |
| (410) 638-0858 | |
| (410) 638-0057 |
| Full Name | Professional Dental Associates Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 615 W Macphail Rd Ste 208, Bel Air, Maryland |
| Authorized Official Name and Position | Iris Shields (OWNER/DENTIST) |
| Authorized Official Contact | 4106380858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Associates Llc 615 W Macphail Rd Ste 208 Bel Air MD 21014-4469 Ph: (410) 638-0858 | Professional Dental Associates Llc 615 W Macphail Rd Ste 208 Bel Air MD 21014-4469 Ph: (410) 638-0858 |
| NPI Number | 1184366866 |
|---|---|
| Provider Enumeration Date | 04/12/2022 |
| Last Update Date | 10/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184366866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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