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Organization
MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF TOWSON LLC
Active
Organization
MAIN STREET CHILDREN'S DENTISTRY AND ORTHODONTICS OF TOWSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 726-1611
Entity
Organization
Contact information
Practice address
120 SISTER PIERRE DR, 502, TOWSON, MD 21204-7516
(410) 321-8144
Mailing address
120 SISTER PIERRE DR, 502, TOWSON, MD 21204-7516
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
MD
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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