Organization
EASTON DENTAL STUDIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAVID HOGLUND DDS (OWNER)
(610) 360-8513
Entity
Organization
Contact information
Practice address
2 MARTIN CT, EASTON, MD 21601-3894
(610) 360-8513
Mailing address
123 HILLS LOROUGH LOOP, JACKSONVILLE, NC 28546-8392
(610) 360-8513
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/07/2020
Last updated
03/07/2020
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