Organization
SPA CREEK DENTAL OF MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH DUNOFF DMD (SOLE MEMBER)
(757) 330-0766
Entity
Organization
Contact information
Practice address
185 ADMIRAL COCHRANE DR, SUITE 117, ANNAPOLIS, MD 21401-7493
(757) 330-0766
Mailing address
185 ADMIRAL COCHRANE DR, SUITE 117, ANNAPOLIS, MD 21401-7493
(757) 330-0766
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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