Pdom Forest Hills LLC

NPI #1184963977 in Forest Hill, Maryland

Provider Information

NPI Number: 1184963977
Entity Type: Organization
Organization Name: Pdom Forest Hills LLC
Primary Specialty: Dentist
Enumeration Date: Feb 14, 2013
Last Updated: Feb 14, 2013

Practice Location

Address: 2003 ROCK SPRING RD
City: Forest Hill
State: Maryland
ZIP Code: 21050-2611
Phone: (410) 838-1114

Authorized Official

Name: MIKE COLE
Title: VP INSURANCE PLAN MANAGEMENT
Phone: (727) 726-1611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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