Organization
MARLA KUSH PROKOP, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLA KUSH PROKOP DMD (PEDIATRIC DENTIST)
(410) 897-1931
Entity
Organization
Contact information
Practice address
621 RIDGELY AVE, SUITE 202, ANNAPOLIS, MD 21401-1081
(410) 897-1931
(410) 897-1932
Mailing address
621 RIDGELY AVE, SUITE 202, ANNAPOLIS, MD 21401-1081
(410) 897-1931
(410) 897-1932
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12877
MD
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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