Organization
DAVID C. BRANDENBURG DDS LLC
Active
Other names
Crestwood Comprehensive Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN ROBINSON (DENTAL ADMINISTRATOR)
(301) 797-6841
Entity
Organization
Contact information
Practice address
18709 CRESTWOOD DR, HAGERSTOWN, MD 21742-2705
(301) 797-6841
(301) 739-7965
Mailing address
18709 CRESTWOOD DR, HAGERSTOWN, MD 21742-2705
(301) 797-6841
(301) 739-7965
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7002381001
—
MD
Enumeration date
01/30/2019
Last updated
01/30/2019
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