Organization
CARROLL COUNTY PEDIATRIC DENTISTRY & ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHALL WESLEY FESCHE D.D.S. (OWNER)
(410) 935-8016
Entity
Organization
Contact information
Practice address
205 WASHINGTON HEIGHTS MEDICAL CENTER, WESTMINSTER, MD 21157
(443) 487-9435
Mailing address
1302 MUSGROVE ROAD, TIMONIUM, MD 21093
(410) 935-8016
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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