Organization
JEROME S. CASPER CHILDRENS DENTAL OFFICE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME S CASPER D.M.D. (OWNER/PARTNER)
(410) 721-3393
Entity
Organization
Contact information
Practice address
2410 EVERGREEN RD, SUITE 101, GAMBRILLS, MD 21054-1848
(410) 721-3393
(301) 386-3403
Mailing address
2410 EVERGREEN RD, SUITE 101, GAMBRILLS, MD 21054-1848
(410) 721-3393
(301) 386-3403
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6515
MD
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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