Organization
MYDNTST OF MAPLE LAWN LLC
Active
Other names
Fresh Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SCOTT RESH DDS (OWNER)
(443) 393-3930
Entity
Organization
Contact information
Practice address
8175 WESTSIDE BLVD STE A, FULTON, MD 20759-2590
(443) 756-1011
Mailing address
8175 WESTSIDE BLVD STE A, FULTON, MD 20759-2590
(443) 756-1011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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