Waverly Woods Aesthetic Dental
NPI #1881366276 in Marriottsville, Maryland
Provider Information
- NPI Number
- 1881366276
- Entity Type
- Organization
- Organization Name
- Waverly Woods Aesthetic Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 4, 2021
- Last Updated
- Oct 26, 2021
Practice Location
- Address
- 2600 LONGSTONE LN STE 101
- City
- Marriottsville
- State
- Maryland
- ZIP Code
- 21104-1530
- Phone
- (410) 442-0103
Authorized Official
- Name
- CHRISTINE M SNYDER, FAADOM
- Title
- OFFICE MANAGER
- Phone
- (410) 442-0103
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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