Organization
ANNAPOLIS PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY ANN JIMENEZ DDS (MEMBER)
(410) 490-1980
Entity
Organization
Contact information
Practice address
41 OLD SOLOMONS ISLAND RD., SUITE 3, ANNAPOLIS, MD 21401
(410) 490-1980
Mailing address
41 OLD SOLOMONS ISLAND RD., SUITE 3, ANNAPOLIS, MD 21401
(410) 490-1980
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
MD-11542
MD
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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