Organization
ALLENTOWN FAMILY DENTAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA FENNELL (OFFICE MANAGER)
(301) 868-6200
Entity
Organization
Contact information
Practice address
8918 WOODYARD RD, CLINTON, MD 20735-4204
(301) 868-6200
(301) 868-4881
Mailing address
8918 WOODYARD RD, CLINTON, MD 20735-4204
(301) 868-6200
(301) 868-4881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/19/2006
Last updated
08/22/2020
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