Organization · Type 2 NPI

My Ellicott City Dentist LLC

General Practice Dentistry · Ellicott City, MD

NPI number 1689283681 Active

About NPI 1689283681

My Ellicott City Dentist LLC's National Provider Identifier is 1689283681, issued on Jul 26, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Ellicott City, MD. The record was last updated on Nov 28, 2021.