Organization
GLENN M POCH DDS LLC
Active
Other names
Blue Water Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN MICHAEL POCH DDS (MANAGING MEMBER)
(410) 674-3000
Entity
Organization
Contact information
Practice address
2288 BLUE WATER BLVD, SUITE 420, ODENTON, MD 21113
(410) 674-3000
(410) 674-7000
Mailing address
2288 BLUE WATER BLVD, SUITE 420, ODENTON, MD 21113
(410) 674-3000
(410) 674-7000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12795
MD
Other
Enumeration date
09/01/2006
Last updated
08/22/2020
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