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Organization

WOODSBORO DENTAL

Active
Parent organization
DENTAL ENHANCEMENT CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTAL ENHANCEMENT CENTER
Authorized official
AMARIS LITTLE RAJASKI D.D.S. (OWNER)
(443) 756-8875
Entity
Organization

Contact information

Practice address
309 S 2ND ST, WOODSBORO, MD 21798-8511
(301) 898-7151
Mailing address
309 S 2ND ST, WOODSBORO, MD 21798-8511
(301) 898-7151

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13379
MD

Other

Enumeration date
08/05/2013
Last updated
08/05/2013
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