Dental One Associates Waldorf LLC
Dentist in Waldorf, MD. Organization (NPI-2).
NPI number1457797151
StatusActive
Last updated in NPPESMay 21, 2013
Details
- NPI
- 1457797151
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental One Associates Waldorf LLC
- Organization subpart
- No
- Enumeration date
- May 21, 2013
- Last updated
- May 21, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
3500 Old Washington Rd301
Waldorf, MD 20602-3224
Phone 301-645-4434
Mailing address
3500 Old Washington Rd301
Waldorf, MD 20602-3224
Authorized official
Mike Cole
Vp Insurance Plan Management
3016454434
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