PROVIDENCE DENTAL SPECIALISTS

HANOVER, MD
NPI1205297546
Entity TypeOrganization
Authorized ContactEILEEN BUCKLE
Dentist
443-858-8377
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: MD  16121)
Enumeration Date2016-03-15
Last Update Date2016-03-15
Business Address
PROVIDENCE DENTAL SPECIALISTS
1731 THEALE WAY
HANOVER, MD 21076-1899
Phone number: 443-858-8377
Mailing Address
PROVIDENCE DENTAL SPECIALISTS
1731 THEALE WAY
HANOVER, MD 21076-1899
Phone number: 443-858-8377
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