Organization
SG DENTAL ASSOCIATES OF MARYLAND LLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KIM VAN CAMP (PROVIDER RELATIONS SPECIALIST)
(315) 464-6000
Entity
Organization
Contact information
Practice address
1730 MASSEY BLVD, STE 106, HAGERSTOWN, MD 21740-6973
(301) 800-7041
(240) 420-5497
Mailing address
1730 MASSEY BLVD, STE 106, HAGERSTOWN, MD 21740-6973
(301) 800-7041
(240) 420-5497
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15671
MD
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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