Organization
DENTAL ONE ASSOCIATES WALDORF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(301) 645-4434
Entity
Organization
Contact information
Practice address
3500 OLD WASHINGTON RD, 301, WALDORF, MD 20602-3224
(301) 645-4434
Mailing address
3500 OLD WASHINGTON RD, 301, WALDORF, MD 20602-3224
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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