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Organization

ELITE LEGACY COLLECTIVE, LLC

Active
Other names
The Dental Loft at Perry Hall
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANA TRUESDALE DDS (OWNER)
(804) 614-8812
Entity
Organization

Contact information

Practice address
9712 BELAIR RD STE 304, NOTTINGHAM, MD 21236-1113
(410) 538-2422
(410) 538-2944
Mailing address
9712 BELAIR RD STE 304, NOTTINGHAM, MD 21236-1113
(410) 538-2422
(410) 538-2944

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
01/27/2026
Last updated
01/27/2026
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