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Organization
DAVID C. BRANDENBURG DDS LLC
Active
Organization
DAVID C. BRANDENBURG DDS LLC
Active
Other names
Crestwood Comprehensive Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN ROBINSON (DENTAL ADMINISTRATOR)
(301) 797-6841
Entity
Organization
Contact information
Practice address
18709 CRESTWOOD DR, HAGERSTOWN, MD 21742-2705
(301) 797-6841
(301) 739-7965
Mailing address
18709 CRESTWOOD DR, HAGERSTOWN, MD 21742-2705
(301) 797-6841
(301) 739-7965
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7002381001
—
MD
Enumeration date
01/30/2019
Last updated
01/30/2019
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