Organization
ACADEMY DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS RYAN O'SHEA DDS (OWNER OF PRACTICE)
(301) 884-2299
Entity
Organization
Contact information
Practice address
37601 GOLDEN BEACH RD., CHARLOTTE HALL, MD 20622
(301) 884-2299
Mailing address
PO BOX 828 ACADEMY DENTAL CARE LLC, MECHANICSVILLE, MD 20659
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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