Organization
FDC-DDS PC
Active
Other names
Family Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONIA ELISABETH CLESNER DDS (DENTIST/OWNER)
(410) 875-2323
Entity
Organization
Contact information
Practice address
4644 RIDGE RD, MOUNT AIRY, MD 21771-8901
(410) 875-2323
(410) 875-2323
Mailing address
4644 RIDGE RD, MOUNT AIRY, MD 21771-8901
(410) 875-2323
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8011
MD
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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