Organization
CLINTON CRAWFORD DDS LLC
Active
Other names
FENTON FAMILY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
KYIAH D GILL MPH (OFFICE MANAGER)
(240) 839-5100
Entity
Organization
Contact information
Practice address
8913 WOODYARD RD, B, CLINTON, MD 20735-4257
(301) 363-2336
(301) 363-2317
Mailing address
8913 WOODYARD RD, B, CLINTON, MD 20735-4257
(301) 363-2336
(301) 363-2317
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14056
MD
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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