Organization
KIDDIE CAVITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EPHRAIM LORENZO ALTMON DDS (OWNER)
(202) 470-3676
Entity
Organization
Contact information
Practice address
3743 BRANCH AVE STE A, TEMPLE HILLS, MD 20748-1408
(240) 606-2699
(202) 470-2124
Mailing address
3743 BRANCH AVE STE A, TEMPLE HILLS, MD 20748-1408
(240) 606-2699
(202) 470-2124
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN1000562
DC
Other
Enumeration date
12/15/2011
Last updated
04/09/2024
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