Organization
CENTREVILLE CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY F VAN SANT DC (OWNER)
(410) 758-3800
Entity
Organization
Contact information
Practice address
101 WATER WAY, CENTREVILLE, MD 21617
(410) 758-3800
(410) 758-2022
Mailing address
101 WATER WAY, CENTREVILLE, MD 21617
(410) 758-3800
(410) 758-2022
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
02138
MD
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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