Organization
DENTAL ONE ASSOCIATES KENILWORTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 726-1611
Entity
Organization
Contact information
Practice address
658 KENILWORTH DR, 210, TOWSON, MD 21204-2312
(410) 821-1551
Mailing address
658 KENILWORTH DR, 210, TOWSON, MD 21204-2312
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
MD
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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