Organization
FCI DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED L SACCOH DDS (DENTIST/PRESIDENT)
(410) 679-4500
Entity
Organization
Contact information
Practice address
413 PULASKI HWY STE 107, JOPPA, MD 21085-3626
(410) 679-4500
(410) 679-4445
Mailing address
413 PULASKI HWY STE 107, JOPPA, MD 21085-3626
(410) 679-4500
(410) 679-4445
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13055
MD
1223P0221X
Pediatric Dentistry
—
MD
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
04/03/2017
Last updated
11/13/2020
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