Organization
RENNER DENTAL MANAGEMENT LLC.
Active
Other names
Advanced Dental Care LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY CROCKEN DDS (OWNER)
(410) 272-2636
Entity
Organization
Contact information
Practice address
122 N PHILADELPHIA BLVD, ABERDEEN, MD 21001-2513
(410) 272-2636
(410) 272-8587
Mailing address
122 N PHILADELPHIA BLVD, ABERDEEN, MD 21001-2513
(410) 272-2636
(410) 272-8587
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
134220345
MD
Other
Enumeration date
12/05/2008
Last updated
12/05/2008
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