Mydntst of Maple Lawn LLC

NPI #1760023204 in Fulton, Maryland

Provider Information

NPI Number: 1760023204
Entity Type: Organization
Organization Name: Mydntst of Maple Lawn LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 7, 2019
Last Updated: Oct 7, 2019

Practice Location

Address: 8175 WESTSIDE BLVD STE A
City: Fulton
State: Maryland
ZIP Code: 20759-2590
Phone: (443) 756-1011

Authorized Official

Name: ERIC SCOTT RESH, DDS
Title: OWNER
Phone: (443) 393-3930

Specialties & Taxonomy Codes

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

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