Organization
BERRY CHILDREN DENTAL OF BOWIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRY RODGERS (PRACRICE ADMINISTRATOR)
(307) 383-0959
Entity
Organization
Contact information
Practice address
4449 MITCHELLVILLE RD, BOWIE, MD 20716-3169
(301) 383-0959
(240) 334-2107
Mailing address
4449 MITCHELLVILLE RD, BOWIE, MD 20716-3169
(301) 383-0959
(240) 334-2107
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13338
MD
122300000X
Dentist
13602
MD
122300000X
Dentist
14110
MD
122300000X
Dentist
15002
MD
122300000X
Dentist
15191
MD
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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