Organization · Type 2 NPI
Kids Dental Center, LLC
Dental Clinic/Center · Ellicott City, MD
NPI number
1053589010
Active
Practice location
5060 Dorsey Hall Dr Ste 104
Ellicott City, MD 21042-7885
Fax (410) 964-3630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 13079 (MD) |
Dental Clinic/Center: Definition to come...
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About NPI 1053589010
Kids Dental Center, LLC's National Provider Identifier is 1053589010, issued on Feb 13, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Ellicott City, MD. The record was last updated on Feb 13, 2008.