Organization
FAMILY VALUES DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN WRATCHFORD (MEMBER)
(301) 729-6911
Entity
Organization
Contact information
Practice address
772 NATIONAL HWY, LAVALE, MD 21502-7349
(301) 729-6911
Mailing address
772 NATIONAL HWY, LAVALE, MD 21502-7349
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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