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1104270073
LA PLATA DENTAL, LLC
LA PLATA, MD
NPI
1104270073
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Entity Type
Organization
Authorized Contact
ANDREW BETAHARON
Owner
240-349-2439
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2016-04-18
Last Update Date
2016-04-18
Business Address
LA PLATA DENTAL, LLC
105 CENTENNIAL ST SUITE C
LA PLATA, MD 20646-6943
Phone number: 240-349-2439
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Mailing Address
LA PLATA DENTAL, LLC
105 CENTENNIAL ST SUITE C
LA PLATA, MD 20646-6943
Phone number:
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