Organization
NIU DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATELYN NIU DDS/PHD (MEMBER)
(410) 916-4158
Entity
Organization
Contact information
Practice address
420 CRAIN HWY S STE 5, GLEN BURNIE, MD 21061-3657
(410) 766-6464
Mailing address
2705 THORNBROOK RD, ELLICOTT CITY, MD 21042-7805
(410) 916-4158
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
15421
MD
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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