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Organization

MARYLAND DENTAL ASSOCIATES LLC

Active
Parent organization
MARYLAND DENTAL ASSOCIATES LLC
Other names
College Park Dental Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
MARYLAND DENTAL ASSOCIATES LLC
Authorized official
R PATRICIA HOWER (CREDENTIALING SPECIALIST)
(215) 798-4027
Entity
Organization

Contact information

Practice address
6100 WESTCHESTER PARK DR STE C4, COLLEGE PARK, MD 20740-2860
(301) 474-8277
(301) 474-3330
Mailing address
PO BOX 4008, LANCASTER, PA 17604-4008

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
03/07/2022
Last updated
03/07/2022
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