| Suzanne Motwaly Dds Llc | |
|
6718 Ritchie Hwy Ste C Glen Burnie MD 21061-2881 | |
| (410) 709-0003 | |
| (410) 709-0990 |
| Full Name | Suzanne Motwaly Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6718 Ritchie Hwy Ste C, Glen Burnie, Maryland |
| Authorized Official Name and Position | Suzanne Motwaly (OWNER) |
| Authorized Official Contact | 4107090003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne Motwaly Dds Llc 6718 Ritchie Hwy Ste C Glen Burnie MD 21061-2881 Ph: (410) 709-0003 | Suzanne Motwaly Dds Llc 6718 Ritchie Hwy Ste C Glen Burnie MD 21061-2881 Ph: (410) 709-0003 |
| NPI Number | 1376284471 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 04/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376284471 | NPI | - | NPPES |
| 907729400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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