| Westphalia Dental Care, Llc | |
|
9632 Marlboro Pike Upper Marlboro MD 20772 | |
| (240) 838-7568 | |
| (301) 576-5800 |
| Full Name | Westphalia Dental Care, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9632 Marlboro Pike, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Mark Van Russell (VP OF OPERATIONS) |
| Authorized Official Contact | 2403207331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westphalia Dental Care, Llc 9632 Marlboro Pike Upper Marlboro MD 20772 Ph: (240) 838-7568 | Westphalia Dental Care, Llc 9632 Marlboro Pike Upper Marlboro MD 20772 Ph: (240) 838-7568 |
| NPI Number | 1891102554 |
|---|---|
| Provider Enumeration Date | 07/15/2014 |
| Last Update Date | 07/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891102554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14531 (Maryland) | Primary |
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