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Riverside Dental At Water'S Edge LLC

Dentist in Belcamp, MD. Organization (NPI-2).

NPI number1275927089
StatusActive
Last updated in NPPESMar 19, 2015

Details

NPI
1275927089
Entity type
Organization (NPI-2)
Legal business name
Riverside Dental At Water'S Edge LLC
Organization subpart
No
Enumeration date
Mar 19, 2015
Last updated
Mar 19, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistD38111MDYes

Practice location

111 Bata Blvd Ste D
Belcamp, MD 21017-1427

Phone 410-272-1535 · Fax 410-272-0242

Mailing address

111 Bata Blvd Ste D
Belcamp, MD 21017-1427

Phone 410-272-1535 · Fax 410-272-0242

Authorized official

Neelu Milak
Owner
4102721535

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