is a Pediatric Dentistry in Columbia, Maryland. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for is 1326257650. The last update date is .
's current location address is 10630 Little Patuxent Pkwy, Columbia, Maryland. You can contact this provider via phone number 4107308330 and fax number 4109924095. The mailing address for is 10630 Little Patuxent Pkwy, Columbia, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 10630 Little Patuxent Pkwy, Columbia, Maryland |
| Phone Number | 4107308330 |
| Fax Number | 4109924095 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1326257650 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 10630 Little Patuxent Pkwy |
|---|---|
| City | Columbia |
| State | Maryland (MD) |
| Post Code | 210443264 |
| Phone Number | 4107308330 |
| Fax Number | 4109924095 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 6329 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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