Organization
BREEZY HILL ORTHO GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATOYA CALLAHAN DDS (OWNER/ORTHODONTIST)
(301) 857-9096
Entity
Organization
Contact information
Practice address
3905 NATIONAL DR STE 340, BURTONSVILLE, MD 20866-6111
(301) 857-9096
Mailing address
3905 NATIONAL DR STE 340, BURTONSVILLE, MD 20866-6111
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16218
DENTAL LICENSE
MD
Enumeration date
09/24/2024
Last updated
09/24/2024
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