| Tiny Tooth Pediatric Dentistry | |
|
8808 Centre Park Dr Ste 303 Columbia MD 21045-2224 | |
| (443) 812-8027 | |
| Not Available |
| Full Name | Tiny Tooth Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8808 Centre Park Dr Ste 303, Columbia, Maryland |
| Authorized Official Name and Position | Su Kim (PEDIATRIC DENTIST) |
| Authorized Official Contact | 4438128027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiny Tooth Pediatric Dentistry 8032 Trotters Chase Ellicott City MD 21043-7592 Ph: (443) 812-8027 | Tiny Tooth Pediatric Dentistry 8808 Centre Park Dr Ste 303 Columbia MD 21045-2224 Ph: (443) 812-8027 |
| NPI Number | 1861077208 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 03/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861077208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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