Organization
ANDERSEN DENTAL LLC
Active
Other names
Fells Point Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE ANDERSEN D.D.S. (DENTIST/OWNER)
(410) 929-1808
Entity
Organization
Contact information
Practice address
1820 LANCASTER ST, SUITE 100, BALTIMORE, MD 21231-3584
(410) 929-1808
Mailing address
1820 LANCASTER ST, SUITE 100, BALTIMORE, MD 21231-3584
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15089
MD
Other
Enumeration date
07/21/2012
Last updated
07/21/2012
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