| Tender Care Dentistry | |
|
29795 Three Notch Rd Charlotte Hall MD 20622-4106 | |
| (301) 290-0001 | |
| (301) 290-5633 |
| Full Name | Tender Care Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 29795 Three Notch Rd, Charlotte Hall, Maryland |
| Authorized Official Name and Position | Hae Sook Kim (OWNER) |
| Authorized Official Contact | 3012900001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tender Care Dentistry 29795 Three Notch Rd Charlotte Hall MD 20622-4106 Ph: (301) 290-0001 | Tender Care Dentistry 29795 Three Notch Rd Charlotte Hall MD 20622-4106 Ph: (301) 290-0001 |
| NPI Number | 1538557533 |
|---|---|
| Provider Enumeration Date | 12/30/2014 |
| Last Update Date | 12/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538557533 | NPI | - | NPPES |
| 025761300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13931 (Maryland) | Primary |
Tender Care Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 29795 Three Notch Rd, Charlotte Hall, MD 20622 Phone: 301-290-0001 Fax: 301-290-5633 | |
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