Organization
FEDERAL HILL DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRYSTAL ELLIS DDS (MANAGING DENTIST)
(202) 394-3677
Entity
Organization
Contact information
Practice address
835 LIGHT ST STE 1, BALTIMORE, MD 21230-4783
(410) 727-3388
Mailing address
835 LIGHT ST STE 1, BALTIMORE, MD 21230-4783
(410) 727-3388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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