Individual
SAMUEL M DODEK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7156 CRADLEROCK WAY, COLUMBIA, MD 21045-5064
(410) 381-1344
(410) 381-1974
Mailing address
7156 CRADLEROCK WAY, COLUMBIA, MD 21045-5064
(410) 381-1344
(410) 381-1974
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12746
MD
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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