Organization
DENTISTRY FOR CHILDREN OF MARYLAND 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA PERKINS (CREDENTIALING SPECIALIST)
(770) 692-1000
Entity
Organization
Contact information
Practice address
9812 FALLS RD, POTOMAC, MD 20854-3976
(301) 983-9804
Mailing address
1350 SPRING ST NW STE 600, ATLANTA, GA 30309-2870
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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