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Marla Kush Prokop, Dmd, Pa
Pediatric Dentist in Annapolis, Maryland
NPI 1194949214

Marla Kush Prokop, Dmd, Pa is a Pediatric Dentist based in Annapolis, MD and is specialized in Pediatric Dentistry. Marla Kush Prokop, Dmd, Pa practices in Annapolis, MD. The NPI Number for Marla Kush Prokop, Dmd, Pa is 1194949214 and holds a License No. 12877 (Maryland).

The current practice location address for Marla Kush Prokop, Dmd, Pa is 621 Ridgely Ave, Annapolis, MD and can be reached out via phone at 410-897-1931 and via fax at 410-897-1932.

Location: 621 Ridgely Ave, Annapolis, MD, 21401-1081
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194949214
Provider Name
Marla Kush Prokop, Dmd, Pa
Credential
Provider Entity Type
Organization
Address
621 Ridgely Ave, Annapolis, MD, 21401-1081
Phone Number
410-897-1931
Fax Number
410-897-1932
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
621 Ridgely Ave
City
Annapolis
State
Maryland
Zip
21401-1081
Phone Number
410-897-1931
Fax Number
410-897-1932
person
Provider Business Mailing Address Details
Address
621 Ridgely Ave
City
Annapolis
State
Maryland
Zip
21401-1081
Phone Number
410-897-1931
Fax Number
410-897-1932
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
12877 (Maryland)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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