Organization
KEITH F. THEODORE, DDS
Active
Other names
(1)LANHAM FAMILY DENTAL CENTER (2)TOOTH-N-NAIL,INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH FELIX THEODORE DDS (PRESIDENT)
(301) 577-6002
Entity
Organization
Contact information
Practice address
9510 LANHAM SEVERN RD, LANHAM, MD 20706-2624
(301) 577-6002
(301) 577-7267
Mailing address
9510 LANHAM SEVERN RD, LANHAM, MD 20706-2624
(301) 577-6002
(301) 577-7267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7399
MD
Other
Enumeration date
10/08/2006
Last updated
08/22/2020
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