Organization
DENTAL ONE ASSOCIATES FREDERICK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (INSURANCE DIRECTOR)
(727) 726-1611
Entity
Organization
Contact information
Practice address
45 THOMAS JOHNSON DR, SUITE 105, FREDERICK, MD 21702-4301
(301) 696-8664
Mailing address
45 THOMAS JOHNSON DR, SUITE 105, FREDERICK, MD 21702-4301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
05/06/2010
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