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1003549288
SPECIAL CARE DENTAL OF PENNSYLVANIA-CKK LLC
PRINCESS ANNE, MD
NPI
1003549288
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Entity Type
Organization
Authorized Contact
JOY L STEVENS
Director Of Revenue
502-244-2441
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2022-07-06
Last Update Date
2022-07-06
Business Address
SPECIAL CARE DENTAL OF PENNSYLVANIA-CKK LLC
11974 EDGEHILL TERRACE RD
PRINCESS ANNE, MD 21853-2105
Phone number: 502-244-2420
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Mailing Address
SPECIAL CARE DENTAL OF PENNSYLVANIA-CKK LLC
12910 SHELBYVILLE RD STE 300
LOUISVILLE, KY 40243-2404
Phone number: 502-813-4415
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