# ALLENTOWN FAMILY DENTAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144302357
- **Authorized official:** MRS. GLORIA FENNELL (OFFICE MANAGER)
- **Authorized official phone:** (301) 868-6200

## Contact information

- **Practice address:** 8918 WOODYARD RD, CLINTON, MD 20735-4204
- **Practice address phone:** (301) 868-6200
- **Practice address fax:** (301) 868-4881
- **Mailing address:** 8918 WOODYARD RD, CLINTON, MD 20735-4204
- **Mailing address phone:** (301) 868-6200
- **Mailing address fax:** (301) 868-4881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 08/22/2020