Organization
GD MD MHV LLC
Active
Other names
Maryland Holistic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
2918 SPENCERVILLE RD, BURTONSVILLE, MD 20866-1434
(301) 421-1996
Mailing address
2918 SPENCERVILLE RD, BURTONSVILLE, MD 20866-1434
(301) 421-1996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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