Organization
DENTISTRY FOR CHILDREN OF MARYLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY VANCAMP (CREDENTIALING & ENROLLMENT MANAGER)
(470) 337-5175
Entity
Organization
Contact information
Practice address
2410 EVERGREEN RD STE 101, GAMBRILLS, MD 21054-1979
(410) 721-3393
Mailing address
2970 BRANDYWINE RD STE 200, ATLANTA, GA 30341-5549
(770) 692-1000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
12/12/2024
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