Chesapeake Contemporary Dentistry, P.a.

NPI #1649597824 in Edgewood, Maryland

Provider Information

NPI Number: 1649597824
Entity Type: Organization
Organization Name: Chesapeake Contemporary Dentistry, P.a.
Primary Specialty: Dentist
Enumeration Date: Apr 27, 2010
Last Updated: Apr 27, 2010

Practice Location

Address: 1308 BUSINESS CENTER WAY
Address 2: SUITE 105
City: Edgewood
State: Maryland
ZIP Code: 21040-1504
Phone: (410) 679-2790

Authorized Official

Name: KEITH EDWIN MOOMAW, D.D.S.
Title: DOCTOR
Phone: (410) 679-2790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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