Dentistry For Children Of Maryland, Llc | |
13600 Baltimore Ave Ste 200 Laurel MD 20707-9495 | |
(301) 470-2137 | |
Not Available |
Full Name | Dentistry For Children Of Maryland, Llc |
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Speciality | Clinic/center - Dental |
Location | 13600 Baltimore Ave Ste 200, Laurel, Maryland |
Authorized Official Name and Position | Tamonia Leonard (CREDENTIALING SPEC) |
Authorized Official Contact | 6782444844 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dentistry For Children Of Maryland, Llc 1350 Spring St Nw Ste 600 Atlanta GA 30309-2870 Ph: (770) 692-1000 | Dentistry For Children Of Maryland, Llc 13600 Baltimore Ave Ste 200 Laurel MD 20707-9495 Ph: (301) 470-2137 |
NPI Number | 1114486230 |
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Provider Enumeration Date | 03/18/2019 |
Last Update Date | 03/18/2019 |
Identifier | Type | State | Issuer |
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1114486230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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