| Rosedale Family Dentistry | |
|
6304 Kenwood Avenue Suite 5 Baltimore MD 21237 | |
| (410) 866-6660 | |
| (410) 866-1557 |
| Full Name | Rosedale Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 6304 Kenwood Avenue, Baltimore, Maryland |
| Authorized Official Name and Position | Constantine J Kaminaris (VICE PRESIDENT) |
| Authorized Official Contact | 4108666660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosedale Family Dentistry 6304 Kenwood Avenue Suite 5 Baltimore MD 21237 Ph: (410) 866-6660 | Rosedale Family Dentistry 6304 Kenwood Avenue Suite 5 Baltimore MD 21237 Ph: (410) 866-6660 |
| NPI Number | 1881614121 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881614121 | NPI | - | NPPES |
| 130210 | Other | MD | CIGNA HMO |
| 588871 | Other | MD | UNITED CONCORDIA |
| 4976 | Other | MD | CAREFIRST BCBS |
| 19584 | Other | MD | AETNA HMO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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