| Washington Pediatric Dental | |
|
8630 Fenton St Ste 718 Silver Spring MD 20910-3812 | |
| (301) 388-8600 | |
| Not Available |
| Full Name | Washington Pediatric Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8630 Fenton St Ste 718, Silver Spring, Maryland |
| Authorized Official Name and Position | Marian Foster-jordan (OWNER) |
| Authorized Official Contact | 2025382933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Pediatric Dental 904 Delafield Pl Nw Washington DC 20011-4516 Ph: () - | Washington Pediatric Dental 8630 Fenton St Ste 718 Silver Spring MD 20910-3812 Ph: (301) 388-8600 |
| NPI Number | 1174026934 |
|---|---|
| Provider Enumeration Date | 03/17/2018 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174026934 | NPI | - | NPPES |
| 061343600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 15002 (Maryland) | Primary |
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