Organization
ROCK KIDS DENTAL LLC
Active
Other names
Rock Kids Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRENE EBUNOLUWA APATA DDS (PEDIATRIC DENTIST/OWNER)
(410) 774-0221
Entity
Organization
Contact information
Practice address
1631 CROFTON CTR, CROFTON, MD 21114-1343
(410) 774-0221
(410) 774-0251
Mailing address
1631 CROFTON CTR, CROFTON, MD 21114-1343
(410) 774-0221
(410) 774-0251
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056005700
—
MD
05
—
1831452648
—
MD
01
—
D76904
CDS
MD
Enumeration date
01/13/2023
Last updated
09/11/2023
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