Dentistry For Children Of Maryland, Llc

NPI 1144607342 - Dentist - 1223P0221X

NPI Details
NPI 1144607342
Enumeration Date 04/27/2015
Last Updated 04/27/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JEANNINE JEANNINE
Position CREDENTIALING MANAGER
Phone (770) 692-1000
Fax
Practice Location
9812 FALLS RD
POTOMAC MD, 20854-3976, US
Phone (770) 692-1000
Fax
Business Location
1350 SPRING ST NW
STE 600
ATLANTA GA, 30309-2864, US
Phone (770) 692-1000
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State Maryland
License Number 14922
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According to our database, Dentistry For Children Of Maryland, Llc NPI is 1144607342, taxonomy code is 1223P0221X and license number is 14922, license state is located at Maryland. Dentistry For Children Of Maryland, Llc physically located at 9812 Falls Rd, Potomac MD, 20854-3976. NPI Number 1033115704 has the healthcare provider type.

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1144607342 NPI number is provided on an as is basis without warranty of any kind. 1144607342 is maintained by the National Plan & Provider Enumeration System. The contents of Dentistry For Children Of Maryland, Llc are for informational purposes only.