Special Care Dental of Pennsylvania-Ckk LLC
NPI #1003549288 in Princess Anne, Maryland
Provider Information
- NPI Number
- 1003549288
- Entity Type
- Organization
- Organization Name
- Special Care Dental of Pennsylvania-Ckk LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Jul 6, 2022
- Last Updated
- Jul 6, 2022
Practice Location
- Address
- 11974 EDGEHILL TERRACE RD
- City
- Princess Anne
- State
- Maryland
- ZIP Code
- 21853-2105
- Phone
- (502) 244-2420
Authorized Official
- Name
- JOY L STEVENS
- Title
- DIRECTOR OF REVENUE
- Phone
- (502) 244-2441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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