Hill Southern Dental of Maryland Ppo PC
NPI #1528864592 in Catonsville, Maryland
Provider Information
- NPI Number
- 1528864592
- Entity Type
- Organization
- Organization Name
- Hill Southern Dental of Maryland Ppo PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HILL SOUTHERN DENTAL OF MARYLAND PPO PC
- Primary Specialty
- Dentist
- Enumeration Date
- Feb 20, 2025
- Last Updated
- Feb 20, 2025
Practice Location
- Address
- 713 MAIDEN CHOICE LN
- City
- Catonsville
- State
- Maryland
- ZIP Code
- 21228-5918
- Phone
- (410) 737-8838
Authorized Official
- Name
- ERIKA MELISSA MENJIVAR
- Title
- SR. CREDENTIALING SPECIALIST
- Phone
- (469) 596-6137
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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