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
602 S ATWOOD RD, SUITE 212, BEL AIR, MD 21014-4172
(410) 836-0290
(410) 836-0298
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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