Organization
ANNAPOLIS GREEN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENA SCHULTHEIS DDS (DENTIST)
(410) 257-7200
Entity
Organization
Contact information
Practice address
2331 FOREST DR, SUITE E, ANNAPOLIS, MD 21401-3868
(410) 224-4500
Mailing address
2331 FOREST DR, SUITE E, ANNAPOLIS, MD 21401-3868
(410) 224-4500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14701
MD
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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