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W Charles McLuckie DDS Ms PC

Dentist, Orthodontics and Dentofacial Orthopedics in Lavale, MD. Organization (NPI-2).

NPI number1548242597
StatusActive
Last updated in NPPESJul 29, 2008

Details

NPI
1548242597
Entity type
Organization (NPI-2)
Legal business name
W Charles McLuckie DDS Ms PC
Organization subpart
No
Enumeration date
Nov 16, 2005
Last updated
Jul 29, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics13543MDYes

Other names

  • Allegany Orthodontics PC (Doing Business As)

Practice location

428 National Hwy
Lavale, MD 21502-7129

Phone 301-722-5850 · Fax 301-722-4960

Mailing address

428 National Hwy
Lavale, MD 21502-7129

Phone 301-722-5850 · Fax 301-722-4960

Authorized official

James Robert Snodgrass
Orthodontist President
3017225850

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