Organization
ANNAPOLIS GREEN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVEY LEE COOK III (FRONT DESK MANAGER)
(410) 224-4500
Entity
Organization
Contact information
Practice address
2331 FOREST DR, SUITE E, ANNAPOLIS, MD 21401-3868
(410) 224-4500
(651) 317-6283
Mailing address
2331 FOREST DR, SUITE E, ANNAPOLIS, MD 21401-3868
(410) 224-4500
(651) 317-6283
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
14701
MD
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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