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Organization

THREE LOWER COUNTIES COMMUNITY SERVICES, INC.

Active
Other names
Chesapeake Health Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN E HOLLAND (PRESIDENT/CEO)
(410) 749-1015
Entity
Organization

Contact information

Practice address
32033 BEAVER RUN DR, SALISBURY, MD 21804-1773
(410) 749-1015
(410) 749-1020
Mailing address
PO BOX 1978, SALISBURY, MD 21802-1978
(410) 749-1015
(410) 749-1020

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1223P0221X
Pediatric Dentistry
Primary
1223S0112X
Oral and Maxillofacial Surgery (Dentist)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420819600
MD
Enumeration date
10/31/2011
Last updated
11/15/2024
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