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Providence Dental Specialists
Dental Clinic/Center in Odenton, Maryland
NPI 1205297546

Providence Dental Specialists is a Dental Clinic/Center based in Odenton, MD and is specialized in Dental. Providence Dental Specialists practices in Odenton, MD. The NPI Number for Providence Dental Specialists is 1205297546 and holds a License No. 16121 (Maryland).

The current practice location address for Providence Dental Specialists is 1215 Annapolis Rd Ste 205, Odenton, MD and can be reached out via phone at 443-858-8377.

Location: 1215 Annapolis Rd Ste 205, Odenton, MD, 21113-1346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205297546
Provider Name
Providence Dental Specialists
Credential
Provider Entity Type
Organization
Address
1215 Annapolis Rd Ste 205, Odenton, MD, 21113-1346
Phone Number
443-858-8377
Fax Number
Provider Enumeration Date
03/15/2016
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
1215 Annapolis Rd Ste 205
City
Odenton
State
Maryland
Zip
21113-1346
Phone Number
443-858-8377
Fax Number
person
Provider Business Mailing Address Details
Address
1215 Annapolis Rd Ste 205
City
Odenton
State
Maryland
Zip
21113-1346
Phone Number
443-858-8377
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
16121 (Maryland)
Definition
Definition to come...
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