Organization
FREDERICK PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENDALL LEE PRICHARD (DENTAL RECEPTIONIST)
(301) 682-3887
Entity
Organization
Contact information
Practice address
77 THOMAS JOHNSON DR., STE. A, FREDERICK, MD 21702
(301) 682-3887
(301) 682-7984
Mailing address
77 THOMAS JOHNSON DR., STE. A, FREDERICK, MD 21702
(301) 682-3887
(301) 682-7984
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9898
MD
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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