Organization · Type 2 NPI

Marla Kush Prokop, Dmd, PA

Pediatric Dentistry · Annapolis, MD

NPI number 1194949214 Active

Practice location

621 Ridgely Ave, Suite 202
Annapolis, MD 21401-1081

Fax (410) 897-1932

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X12877 (MD)

Pediatric Dentistry: 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.

22 other providers at this address

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About NPI 1194949214

Marla Kush Prokop, Dmd, PA's National Provider Identifier is 1194949214, issued on Apr 12, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Annapolis, MD. The record was last updated on Aug 22, 2020.