Organization
PREMIER DENTAL PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOB MATHEWS D.D.S. (GENERAL DENTIST)
(410) 960-9393
Entity
Organization
Contact information
Practice address
8615 RIDGELYS CHOICE DR, SUITE 209, NOTTINGHAM, MD 21236-3026
(410) 248-0025
Mailing address
7282 CALM SUNSET, COLUMBIA, MD 21046-3400
(410) 960-9393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13009
MD
Other
Enumeration date
09/11/2007
Last updated
09/17/2008
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