Organization
AGE ONE PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUDIA WILLIAMS-CONERLY DENTIST (OWNER)
(989) 714-4470
Entity
Organization
Contact information
Practice address
8611 2ND AVE, SUITE 201, SILVER SPRING, MD 20910-3372
(989) 714-4470
Mailing address
14012 WAGON WAY, SILVER SPRING, MD 20906
(989) 714-4470
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
14126
MD
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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