Organization
DENTAL ARTS OF FREDERICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN S OAKES (MANAGER)
(301) 663-5552
Entity
Organization
Contact information
Practice address
196 THOMAS JOHNSON DR, SUITE 130, FREDERICK, MD 21702-4397
(301) 663-5552
Mailing address
196 THOMAS JOHNSON DR, SUITE 130, FREDERICK, MD 21702-4397
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
14295
MD
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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