Organization
SPECIALISTS IN ORTHODONTICS OF MARYLAND 2, PLLC
Active
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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