Organization
PDOM ELKTON
Active
Other names
Dental Care Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
101 CHESAPEAKE BLVD STE A, ELKTON, MD 21921-6607
(410) 398-9230
Mailing address
101 CHESAPEAKE BLVD STE A, ELKTON, MD 21921-6607
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
03/28/2023
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