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Organization

NORTH BEACH DENTAL CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATHANIEL FORD (PRACTICE MANAGER)
(443) 550-8115
Entity
Organization

Contact information

Practice address
5570 SHADY SIDE RD STE A, CHURCHTON, MD 20733-9639
(443) 550-8115
Mailing address
5570 SHADY SIDE RD STE A, CHURCHTON, MD 20733-9639

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14033
MD

Other

Enumeration date
05/19/2014
Last updated
05/19/2014
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