Judd Dentistry PA

NPI #1679629828 in Columbia, Maryland

Provider Information

NPI Number: 1679629828
Entity Type: Organization
Organization Name: Judd Dentistry PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 27, 2007
Last Updated: Aug 30, 2016

Practice Location

Address: 8860 COLUMBIA 100 PKWY
Address 2: SUITE 106
City: Columbia
State: Maryland
ZIP Code: 21045-2195
Phone: (410) 884-5833

Authorized Official

Name: DR. KEISHA PATRICE BRUNEY JUDD, D.M.D
Title: OWNER
Phone: (410) 884-5833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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