| Keith F. Theodore, Dds | |
|
9510 Lanham Severn Rd Lanham MD 20706-2624 | |
| (301) 577-6002 | |
| (301) 577-7267 |
| Full Name | Keith F. Theodore, Dds |
|---|---|
| Speciality | Dentist |
| Location | 9510 Lanham Severn Rd, Lanham, Maryland |
| Authorized Official Name and Position | Keith Felix Theodore (PRESIDENT) |
| Authorized Official Contact | 3015776002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith F. Theodore, Dds 9510 Lanham Severn Rd Lanham MD 20706-2624 Ph: (301) 577-6002 | Keith F. Theodore, Dds 9510 Lanham Severn Rd Lanham MD 20706-2624 Ph: (301) 577-6002 |
| NPI Number | 1164519385 |
|---|---|
| Provider Enumeration Date | 10/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164519385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7399 (Maryland) | Primary |
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