Organization
CPDG-DD, LLC
Active
Parent organization
CHESAPEAKE PEDIATRIC DENTAL GROUP, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHESAPEAKE PEDIATRIC DENTAL GROUP, INC
Authorized official
DR. HAKAN OMER KOYMEN DDS, MS (PRESIDENT)
(410) 979-4483
Entity
Organization
Contact information
Practice address
4009 NORTH POINT BLVD, SUITE 101, DUNDALK, MD 21222
(410) 388-8273
Mailing address
5009 HONEYGO CENTER DR STE 228, PERRY HALL, MD 21128-9842
(410) 248-3384
(410) 248-3385
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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