Colliver Dental Group, P.a.

NPI 1013061563 - Dentist - 1223G0001X

NPI Details
NPI 1013061563
Enumeration Date 01/22/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KATHERINE CHRISTINE KATHERINE
Position BUSINESS MANAGER
Phone (301) 662-5914
Fax (301) 662-7340
Practice Location
2090 OLD FARM DR
STE. B
FREDERICK MD, 21702-5400, US
Phone (301) 662-5914
Fax (301) 662-7340
Business Location
2090 OLD FARM DR
STE. B
FREDERICK MD, 21702-5400, US
Phone (301) 662-5914
Fax (301) 662-7340
Toxanomy
Taxonomy Code 1223G0001X
License State Maryland
License Number 9614
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According to our database, Colliver Dental Group, P.a. NPI is 1013061563, taxonomy code is 1223G0001X and license number is 9614, license state is located at Maryland. Colliver Dental Group, P.a. physically located at 2090 Old Farm Dr, Frederick MD, 21702-5400. NPI Number 1033115704 has the healthcare provider type.

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1013061563 NPI number is provided on an as is basis without warranty of any kind. 1013061563 is maintained by the National Plan & Provider Enumeration System. The contents of Colliver Dental Group, P.a. are for informational purposes only.