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Crofton Dental Center LLC

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

NPI number1558097477
StatusActive
Last updated in NPPESJul 25, 2022

Details

NPI
1558097477
Entity type
Organization (NPI-2)
Legal business name
Crofton Dental Center LLC
Organization subpart
No
Enumeration date
Jul 25, 2022
Certification date
Jul 25, 2022
Last updated
Jul 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Practice location

1664 Village Grn
Crofton, MD 21114-2037

Phone 301-215-2653

Mailing address

11523 Green St
Fulton, MD 20759-2665

Phone 301-660-0060

Authorized official

Rahat Sood
Dentist/Owner
3016600060

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