Organization
CPDG,AB, LLC
Active
Parent organization
CHESAPEAKE PEDIATRIC DENTAL GROUP, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHESAPEAKE PEDIATRIC DENTAL GROUP, INC
Authorized official
DR. HAKAN KOYMEN DDS, MS (PRESIDENT)
(410) 248-3384
Entity
Organization
Contact information
Practice address
3400 BOX HILL CORPORATE CENTER DRIVE, SUITE 120, ABINGDON, MD 21009
(410) 248-3384
Mailing address
3400 BOX HILL CORPORATE CENTER DRIVE, SUITE 120, ABINGDON, MD 21009
(410) 248-3384
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12770
MD
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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