Organization
DENTISTRY FOR CHILDREN OF MARYLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO ANN RICE (CREDENTIALING MANAGER)
(609) 315-3851
Entity
Organization
Contact information
Practice address
50 OLNEY SANDY SPRING RD, ASHTON, MD 20861-3656
(301) 924-5500
Mailing address
2970 BRANDYWINE RD STE 200, ATLANTA, GA 30341-5549
(770) 692-1000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
02/10/2022
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