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Cpdg-Canton LLC

Dentist, Pediatric Dentistry in Baltimore, MD. Organization (NPI-2).

NPI number1295599686
StatusActive
Last updated in NPPESFeb 7, 2024

Details

NPI
1295599686
Entity type
Organization (NPI-2)
Legal business name
Cpdg-Canton LLC
Organization subpart
No
Enumeration date
Feb 7, 2024
Certification date
Feb 7, 2024
Last updated
Feb 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric Dentistry––Yes

Practice location

3904 Boston St Ste 104
Baltimore, MD 21224-5762

Phone 410-569-4300

Mailing address

3400 Box Hll Corp Ctr Dr Ste 120
Abingdon, MD 21009-1290

Phone 410-569-4300

Authorized official

Hakan Koymen
President
4109794483

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