Organization
MARYLAND DENTAL ASSOCIATES LLC
Active
Parent organization
MARYLAND DENTAL ASSOCIATES LLC
Other names
Waldorf Dental Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARYLAND DENTAL ASSOCIATES LLC
Authorized official
R PATRICIA HOWER (CREDENTIALING SPECIALIST)
(215) 798-4027
Entity
Organization
Contact information
Practice address
3450 OLD WASHINGTON RD STE 301, WALDORF, MD 20602-3251
(301) 645-6611
Mailing address
3450 OLD WASHINGTON RD STE 301, WALDORF, MD 20602-3251
(301) 645-6611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/20/2022
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