Main Street Children's Dentistry and Orthodontics of Towson LLC

NPI #1699183780 in Towson, Maryland

Provider Information

NPI Number: 1699183780
Entity Type: Organization
Organization Name: Main Street Children's Dentistry and Orthodontics of Towson LLC
Primary Specialty: Dentist
Enumeration Date: Aug 1, 2014
Last Updated: Aug 1, 2014

Practice Location

Address: 120 SISTER PIERRE DR
Address 2: 502
City: Towson
State: Maryland
ZIP Code: 21204-7516
Phone: (410) 321-8144

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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