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1992110167
FREDERICK COMMUNITY DENTAL LLC
FREDERICK, MD
NPI
1992110167
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Entity Type
Organization
Authorized Contact
DINESH BOPPANA
Member
443-928-9708
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MD 14609)
Enumeration Date
2014-06-26
Last Update Date
2014-06-26
Business Address
FREDERICK COMMUNITY DENTAL LLC
1100 W PATRICK ST SUITE N
FREDERICK, MD 21703-3902
Phone number: 443-928-9708
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Mailing Address
FREDERICK COMMUNITY DENTAL LLC
6703 JORDAN VALLEY CT
FREDERICK, MD 21702-5812
Phone number:
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