| White Marsh Pediatric Dentistry, Llc | |
|
5430 Campbell Blvd Ste 209 White Marsh MD 21162-5504 | |
| (443) 725-4185 | |
| (443) 725-4187 |
| Full Name | White Marsh Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5430 Campbell Blvd Ste 209, White Marsh, Maryland |
| Authorized Official Name and Position | Sandra Shih (DENTIST/MANAGER) |
| Authorized Official Contact | 4437254185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Marsh Pediatric Dentistry, Llc 5430 Campbell Boulevard Suite 209 White Marsh MD 21162 Ph: (443) 725-4185 | White Marsh Pediatric Dentistry, Llc 5430 Campbell Blvd Ste 209 White Marsh MD 21162-5504 Ph: (443) 725-4185 |
| NPI Number | 1629208582 |
|---|---|
| Provider Enumeration Date | 07/24/2009 |
| Last Update Date | 03/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629208582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 13125 (Maryland) | Primary |
Primecaredentalllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11550 Philadelphia Rd Ste 118, White Marsh, MD 21162 Phone: 410-256-4868 |