Organization
DR. EDWARD S. ANDOCHICK, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD S ANDOCHICK DDS (PRESIDENT)
(301) 663-3919
Entity
Organization
Contact information
Practice address
516 TRAIL AVE, SUITE B, FREDERICK, MD 21701-4942
(301) 663-3919
(301) 663-1459
Mailing address
516 TRAIL AVE, SUITE B, FREDERICK, MD 21701-4942
(301) 663-3919
(301) 663-1459
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3730
MD
Other
Enumeration date
12/08/2007
Last updated
12/08/2007
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