Organization
VALLEY DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J. COLE (INSURANCE DIRECTOR)
(727) 726-1611
Entity
Organization
Contact information
Practice address
9199 REISTERSTOWN RD, SUITE 206 B, OWINGS MILLS, MD 21117-4520
(410) 363-2525
Mailing address
9199 REISTERSTOWN RD, SUITE 206 B, OWINGS MILLS, MD 21117-4520
(410) 363-2525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
07/30/2010
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