Organization
TOOTH STORY
Active
Other names
Wendy Daulat
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN SANDOVAL (OFFICE MANAGER)
(443) 545-5058
Entity
Organization
Contact information
Practice address
5450 KNOLL NORTH DR STE 310, COLUMBIA, MD 21045-2369
(443) 545-5058
Mailing address
5450 KNOLL NORTH DR STE 310, COLUMBIA, MD 21045-2369
(443) 545-5058
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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