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Organization
VIDA DENTAL
Active
Organization
VIDA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUDIA CARVALHO STORCH DDS (OWNER)
(240) 310-9759
Entity
Organization
Contact information
Practice address
12920 CONAMAR DR STE 201, HAGERSTOWN, MD 21742-3298
(240) 310-9759
Mailing address
11145 SUFFOLK DR, HAGERSTOWN, MD 21742-4065
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2022
Last updated
02/13/2022
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