Organization · Type 2 NPI
Avalon Dental Center, Inc
Dental Clinic/Center · Upper Marlboro, MD
NPI number
1407629173
Active
Practice location
81 Kettering Dr
Upper Marlboro, MD 20774-1676
Fax (240) 563-1455
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1407629173
Avalon Dental Center, Inc's National Provider Identifier is 1407629173, issued on Nov 3, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Upper Marlboro, MD. The record was last updated on Aug 7, 2026.