La Plata Dental, LLC

NPI #1104270073 in La Plata, Maryland

Provider Information

NPI Number
1104270073
Entity Type
Organization
Organization Name
La Plata Dental, LLC
Primary Specialty
Dentist
Enumeration Date
Apr 18, 2016
Last Updated
Apr 18, 2016

Practice Location

Address
105 CENTENNIAL ST
Address 2
SUITE C
ZIP Code
20646-6943
Phone
(240) 349-2439

Authorized Official

Name
ANDREW BETAHARON, DDS
Title
OWNER
Phone
(240) 349-2439

Specialties & Taxonomy Codes

Specialty
Dentist

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