Dental One Associates Kenilworth LLC

NPI #1700208956 in Towson, Maryland

Provider Information

NPI Number: 1700208956
Entity Type: Organization
Organization Name: Dental One Associates Kenilworth LLC
Primary Specialty: Dentist
Enumeration Date: Jan 7, 2014
Last Updated: Jan 7, 2014

Practice Location

Address: 658 KENILWORTH DR
Address 2: 210
City: Towson
State: Maryland
ZIP Code: 21204-2312
Phone: (410) 821-1551

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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