Maryland Dental Associates, LLC

NPI #1841927712 in Edgewater, Maryland

Provider Information

NPI Number: 1841927712
Entity Type: Organization
Organization Name: Maryland Dental Associates, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MARYLAND DENTAL ASSOCIATES, LLC
Primary Specialty: Dentist
Enumeration Date: Aug 2, 2022
Last Updated: Aug 2, 2022

Practice Location

Address: 3179 BRAVERTON ST STE 100
City: Edgewater
State: Maryland
ZIP Code: 21037-2666
Phone: (410) 956-2505

Authorized Official

Name: R PATRICIA HOWER
Title: CREDENTIALING SPECIALIST
Phone: (215) 798-4027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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