Organization
JUDD DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEISHA PATRICE BRUNEY JUDD D.M.D (OWNER)
(410) 884-5833
Entity
Organization
Contact information
Practice address
8860 COLUMBIA 100 PKWY, SUITE 106, COLUMBIA, MD 21045-2195
(410) 884-5833
(410) 884-5836
Mailing address
8860 COLUMBIA 100 PKWY, SUITE 106, COLUMBIA, MD 21045-2195
(410) 884-5833
(410) 884-5836
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13389
MD
Other
Enumeration date
01/27/2007
Last updated
08/30/2016
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