Organization
COLUMBIA PRIME DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUDMILA HRISTOVA TCHAKAROVA DDS (DDS/OWNER)
(410) 381-8283
Entity
Organization
Contact information
Practice address
6801 DOUGLAS LEGUM DR STE C, ELKRIDGE, MD 21075-6273
(410) 381-8283
(413) 254-5304
Mailing address
9084 LAMBSKIN LN, COLUMBIA, MD 21045-2939
(410) 992-6793
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14156
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027642100
—
MD
Enumeration date
05/09/2011
Last updated
07/23/2024
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