Individual
COLE CHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
415 PENNINGTON AVE, HAVRE DE GRACE, MD 21078-2903
(410) 618-1001
Mailing address
415 PENNINGTON AVE, HAVRE DE GRACE, MD 21078-2903
(410) 618-1001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16974
MD
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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