Sg Dental Associates of Maryland LLC
NPI #1508254145 in Hagerstown, Maryland
Provider Information
- NPI Number
- 1508254145
- Entity Type
- Organization
- Organization Name
- Sg Dental Associates of Maryland LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 6, 2015
- Last Updated
- Jan 6, 2015
Practice Location
- Address
- 1730 MASSEY BLVD
- Address 2
- STE 106
- City
- Hagerstown
- State
- Maryland
- ZIP Code
- 21740-6973
- Phone
- (301) 800-7041
Authorized Official
- Name
- KIM VAN CAMP
- Title
- PROVIDER RELATIONS SPECIALIST
- Phone
- (315) 464-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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