Organization
DENTISTRY FOR CHILDREN OF MARYLAND 3 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO ANN RICE (CREDENTIALING DIRECTOR)
(609) 315-3851
Entity
Organization
Contact information
Practice address
5530 WISCONSIN AVE STE 1230, CHEVY CHASE, MD 20815-4301
(301) 718-1012
Mailing address
2970 BRANDYWINE RD STE 200, ATLANTA, GA 30341-5549
(770) 692-1000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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