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Maryland Family Dental

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

NPI number1861724809
StatusActive
Last updated in NPPESFeb 1, 2010

Details

NPI
1861724809
Entity type
Organization (NPI-2)
Legal business name
Maryland Family Dental
Organization subpart
No
Enumeration date
Feb 1, 2010
Last updated
Feb 1, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental6041MDYes

Practice location

122 N Philadelphia Blvd
Aberdeen, MD 21001-2513

Phone 410-272-2636 · Fax 410-272-8587

Mailing address

122 N Philadelphia Blvd
Aberdeen, MD 21001-2513

Phone 410-272-2636 · Fax 410-272-8587

Authorized official

Corrine Farrow
Office Director
3024630906

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