Organization
MARYLAND FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORRINE FARROW (OFFICE DIRECTOR)
(302) 463-0906
Entity
Organization
Contact information
Practice address
122 N PHILADELPHIA BLVD, ABERDEEN, MD 21001-2513
(410) 272-2636
(410) 272-8587
Mailing address
122 N PHILADELPHIA BLVD, ABERDEEN, MD 21001-2513
(410) 272-2636
(410) 272-8587
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6041
MD
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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