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Organization
ANNAPOLIS GREEN DENTAL LLC
Active
Organization
ANNAPOLIS GREEN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVEY LEE COOK III (FRONT DESK MANAGER)
(410) 224-4500
Entity
Organization
Contact information
Practice address
2331 FOREST DR, SUITE E, ANNAPOLIS, MD 21401-3868
(410) 224-4500
(651) 317-6283
Mailing address
2331 FOREST DR, SUITE E, ANNAPOLIS, MD 21401-3868
(410) 224-4500
(651) 317-6283
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
14701
MD
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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