Organization
ELKRIDGE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA JACKSON BABCOCK DDS (OWNER)
(410) 796-0020
Entity
Organization
Contact information
Practice address
6325C WASHINGTON BLVD, ELKRIDGE, MD 21075-5348
(410) 796-0020
Mailing address
6325-C WASHINGTON BLVD, ELKRIDGE, MD 21075-5317
(410) 796-0020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10130
MD
1223G0001X
General Practice Dentistry
Primary
13421
MD
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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