| The Haven Family And Cosmetic Dentistry Llc | |
|
983 Waugh Chapel Way Ste E Gambrills MD 21054-1261 | |
| (410) 881-7447 | |
| Not Available |
| Full Name | The Haven Family And Cosmetic Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 983 Waugh Chapel Way Ste E, Gambrills, Maryland |
| Authorized Official Name and Position | Nitchel Bastien (DENTIST/OWNER) |
| Authorized Official Contact | 4108817447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Haven Family And Cosmetic Dentistry Llc 983 Waugh Chapel Way Ste E Gambrills MD 21054-1261 Ph: (410) 881-7447 | The Haven Family And Cosmetic Dentistry Llc 983 Waugh Chapel Way Ste E Gambrills MD 21054-1261 Ph: (410) 881-7447 |
| NPI Number | 1346093457 |
|---|---|
| Provider Enumeration Date | 04/09/2024 |
| Last Update Date | 10/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346093457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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