Organization
DENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA L. CLARK (MANAGER)
(301) 680-9666
Entity
Organization
Contact information
Practice address
198 THOMAS JOHNSON DR, SUITE #103, FREDERICK, MD 21702-4398
(301) 620-9666
(301) 620-9739
Mailing address
198 THOMAS JOHNSON DR, SUITE #103, FREDERICK, MD 21702-4398
(301) 680-9666
(301) 620-9739
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
11326
MD
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13622
MD
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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