Organization
CENTRAL MARYLAND ORAL AND FACIAL SURGICAL ARTS OF CLARKSVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CARTER ROBINSON (DDS)
(562) 293-7339
Entity
Organization
Contact information
Practice address
12431 CLARKSVILLE PIKE, ROUTE 108, CLARKSVILLE, MD 21029
(562) 293-7339
Mailing address
12431 CLARKSVILLE PIKE, ROUTE 108, CLARKSVILLE, MD 21029
(562) 293-7339
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
15559
MD
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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