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Organization

MAYA A. VERNON, DDS, LLC

Active
Other names
Vernon Pediatric Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAYA ALQUEZA VERNON D.D.S. (PEDIATRIC DENTIST)
(410) 544-4888
Entity
Organization

Contact information

Practice address
900 RITCHIE HWY, SUITE 101, SEVERNA PARK, MD 21146-4142
(410) 544-4888
Mailing address
900 RITCHIE HWY, SUITE 101, SEVERNA PARK, MD 21146-4142
(410) 544-4888

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12948
MD

Other

Enumeration date
03/31/2011
Last updated
03/31/2011
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