Organization
SPECIALISTS IN ORTHODONTICS OF MARYLAND 2, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA PERKINS (CREDENTIALING SPECIALIST)
(678) 860-0455
Entity
Organization
Contact information
Practice address
888 BESTGATE RD STE 301, ANNAPOLIS, MD 21401-2955
(410) 266-0025
Mailing address
1350 SPRING ST NW STE 600, ATLANTA, GA 30309-2870
(770) 692-1000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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