Organization
CCDC PROFESSIONALS, LLC
Active
Other names
Baltimore Children's General Anesthesia Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WHEELER (BUSINESS MANAGER)
(301) 494-3000
Entity
Organization
Contact information
Practice address
3421 BENSON AVE STE G100, BALTIMORE, MD 21227-1134
(301) 494-3000
Mailing address
1220 CARAWAY CT STE 1050, UPPER MARLBORO, MD 20774-5338
(301) 494-3000
(301) 494-3333
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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