Organization
ENDODONTICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MANN D.M.D (OWNER/PRESIDENT)
(410) 931-0250
Entity
Organization
Contact information
Practice address
888 BESTGATE RD, SUITE 220, ANNAPOLIS, MD 21401-3091
(410) 224-6150
(410) 224-6136
Mailing address
15 OLD LYME RD, LUTHERVILLE, MD 21093-3719
(410) 560-0009
(410) 931-4876
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
08/17/2006
Last updated
08/22/2020
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