Organization
COSMETIC SMILE AND DENTURE TECHNOLOGY CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSLYN ROXANNA ROBINSON-KELLUM DDS (OWNER)
(410) 433-9656
Entity
Organization
Contact information
Practice address
9199 REISTERSTOWN ROAD, SUITE 203A, OWINGS MILLS, MD 21117
(410) 433-9656
Mailing address
PO BOX 39395, BALTO, MD 21212-6395
(410) 433-9656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10848
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7552840
—
MD
Enumeration date
06/02/2008
Last updated
06/02/2008
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