Organization
HILL SOUTHERN DENTAL OF MARYLAND PPO PC
Active
Parent organization
HILL SOUTHERN DENTAL OF MARYLAND PPO PC
Other names
Allegiance Dental Association
Organization subpart
Yes
Provider details
NPI number
Legal business name
HILL SOUTHERN DENTAL OF MARYLAND PPO PC
Authorized official
ERIKA MELISSA MENJIVAR (SR. CREDENTIALING SPECIALIST)
(469) 596-6137
Entity
Organization
Contact information
Practice address
2021A EMMORTON RD STE 222, BEL AIR, MD 21015-8901
(410) 670-3376
Mailing address
5830 GRANITE PKWY STE 780, PLANO, TX 75024-6775
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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