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Carol R Eichelman D.D.S.

Clinic/Center, Dental in Ellicott City, MD. Organization (NPI-2).

NPI number1528469293
StatusActive
Last updated in NPPESSep 11, 2014

Details

NPI
1528469293
Entity type
Organization (NPI-2)
Legal business name
Carol R Eichelman D.D.S.
Organization subpart
No
Enumeration date
Sep 11, 2014
Last updated
Sep 11, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental8271MDYes

Practice location

3444 Ellicott Center Dr Ste 202
Ellicott City, MD 21043-4110

Phone 410-461-4288

Mailing address

3444 Ellicott Center Dr Ste 202
Ellicott City, MD 21043-4110

Phone 410-461-4288

Authorized official

Carol Eichelman
DDS
4104614288

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