Organization
ENTERPRISE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN GRANGER DDS (PRESIDENT)
(301) 249-3941
Entity
Organization
Contact information
Practice address
1211 ENTERPRISE RD, MITCHELLEVILLE, MD 20721
(301) 249-3941
Mailing address
1211 ENTERPRISE RD, MITCHELLEVILLE, MD 20721
(301) 249-3941
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
Primary
—
MD
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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