Organization
FIRST DENTAL
Active
Parent organization
FIRST DENTAL MARYLAND LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST DENTAL MARYLAND LLC
Authorized official
SUJI CHA DDS (OWNER)
(410) 323-2875
Entity
Organization
Contact information
Practice address
5710 BELLONA AVE STE 101, BALTIMORE, MD 21212-3500
(410) 323-2875
Mailing address
5710 BELLONA AVE STE 101, BALTIMORE, MD 21212-3500
(410) 323-2875
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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