# MARYLAND DENTAL ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARYLAND DENTAL ASSOCIATES LLC
- **Other names:** Waldorf Dental Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720725351
- **Legal business name:** MARYLAND DENTAL ASSOCIATES LLC
- **Authorized official:** R PATRICIA HOWER (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (215) 798-4027

## Contact information

- **Practice address:** 3450 OLD WASHINGTON RD STE 301, WALDORF, MD 20602-3251
- **Practice address phone:** (301) 645-6611
- **Mailing address:** 3450 OLD WASHINGTON RD STE 301, WALDORF, MD 20602-3251
- **Mailing address phone:** (301) 645-6611

## Taxonomy

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

## Other

- **Enumeration date:** 05/16/2022
- **Last updated:** 05/20/2022