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Organization

KIDDIE CAVITY CARE THMD, LLC

Active
Other names
Kiddie Cavity Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EPHRAIM L ALTMON DDS (OWNER)
(240) 606-2699
Entity
Organization

Contact information

Practice address
3743 BRANCH AVE STE A, TEMPLE HILLS, MD 20748-1408
(240) 606-2699
Mailing address
8605 KITTAMA DR, CLINTON, MD 20735-3179
(240) 606-2699

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1223P0221X
Pediatric Dentistry
16208
MD

Other

Enumeration date
05/31/2018
Last updated
09/19/2018
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