Colliver Dental Group, P.a.

NPI #1013061563 in Frederick, Maryland

Provider Information

NPI Number
1013061563
Entity Type
Organization
Organization Name
Colliver Dental Group, P.a.
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 22, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
2090 OLD FARM DR
Address 2
STE. B
ZIP Code
21702-5400
Phone
(301) 662-5914

Authorized Official

Name
MS. KATHERINE CHRISTINE COLLIVER
Title
BUSINESS MANAGER
Phone
(301) 662-5914

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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