Organization
CALVERT FAMILY AND COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENA SCHULTHEIS (OWNER/DENTIST)
(410) 257-7200
Entity
Organization
Contact information
Practice address
10365 SOUTHERN MARYLAND BLVD, DUNKIRK, MD 20754
(410) 257-7200
Mailing address
10365 SOUTHERN MARYLAND BLVD, DUNKIRK, MD 20754
(410) 257-7200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14701
MD
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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