Organization
RICHARDSON PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH KRATZER (OFFICE MANAGER)
(443) 574-8944
Entity
Organization
Contact information
Practice address
8001 HILLSBOROUGH RD, SUITE L, ELLICOTT CITY, MD 21043-6872
(443) 574-8944
(443) 574-8947
Mailing address
8001 HILLSBOROUGH RD, SUITE L, ELLICOTT CITY, MD 21043-6872
(443) 574-8944
(443) 574-8947
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
14002
MD
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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