| Vernon Pediatric Dentistry | |
|
900 Ritchie Hwy Suite 101 Severna Park MD 21146-4142 | |
| (410) 544-4888 | |
| Not Available |
| Full Name | Vernon Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 900 Ritchie Hwy, Severna Park, Maryland |
| Authorized Official Name and Position | Maya Alqueza Vernon (PEDIATRIC DENTIST) |
| Authorized Official Contact | 4105444888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vernon Pediatric Dentistry 900 Ritchie Hwy Suite 101 Severna Park MD 21146-4142 Ph: (410) 544-4888 | Vernon Pediatric Dentistry 900 Ritchie Hwy Suite 101 Severna Park MD 21146-4142 Ph: (410) 544-4888 |
| NPI Number | 1699064550 |
|---|---|
| Provider Enumeration Date | 03/31/2011 |
| Last Update Date | 03/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699064550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 12948 (Maryland) | Primary |
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