Organization
ST. CHARLES FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN COLEMAN-BORDES OWNER (DENTIST)
(301) 645-6500
Entity
Organization
Contact information
Practice address
173 SAINT PATRICKS DR, SUITE 204, WALDORF, MD 20603-5529
(301) 645-6500
(301) 632-6492
Mailing address
173 SAINT PATRICKS DR, SUITE 204, WALDORF, MD 20603-5529
(301) 645-6500
(301) 632-6492
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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