EASTERN AVENUE DENTAL, LLC

BALTIMORE, MD
NPI1437550761
Entity TypeOrganization
Authorized ContactSINHA KANG
Dentist
410-335-7771
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: MD  13144)
Additional Taxonomies122300000X Dentist
(Licence: MD  12853)
122300000X Dentist
(Licence: MD  14921)
122300000X Dentist
(Licence: MD  15012)
Enumeration Date2014-09-05
Last Update Date2014-09-09
Business Address
EASTERN AVENUE DENTAL, LLC
12412 EASTERN AVE
BALTIMORE, MD 21220
Phone number: 410-335-7771
Mailing Address
EASTERN AVENUE DENTAL, LLC
PO BOX B
CHASE, MD 21027-0020
Phone number: 410-335-7771