Organization
BESTIE LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENA SCHULTHIES (OWNER)
(410) 905-8738
Entity
Organization
Contact information
Practice address
10415 SOUTHERN MARYLAND BLVD, DUNKIRK, MD 20754-2738
(410) 257-7200
Mailing address
10415 SOUTHERN MARYLAND BLVD, DUNKIRK, MD 20754-2738
(410) 257-7200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14701
MARYLAND
MD
Enumeration date
03/01/2021
Last updated
10/30/2021
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