Organization
ELDERSBURG DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER EUNCHO CHO D.D.S. (OWNER)
(410) 795-8040
Entity
Organization
Contact information
Practice address
1020 LIBERTY RD STE 100, ELDERSBURG, MD 21784-7923
(410) 795-8040
Mailing address
1020 LIBERTY RD STE 100, ELDERSBURG, MD 21784-7923
(410) 795-8040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14477
MD
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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