First Chair Dentistry for Pediatrics and Adolescents
NPI #1114597994 in Burtonsville, Maryland
Provider Information
- NPI Number
- 1114597994
- Entity Type
- Organization
- Organization Name
- First Chair Dentistry for Pediatrics and Adolescents
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 25, 2021
- Last Updated
- Oct 8, 2021
Practice Location
- Address
- 3905 NATIONAL DR STE 180
- City
- Burtonsville
- State
- Maryland
- ZIP Code
- 20866-6103
- Phone
- (301) 686-3080
Authorized Official
- Name
- LATAVIAS ELLINGTON, DDS
- Title
- DENTIST
- Phone
- (301) 686-3080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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