| Audubon Dental Center Of Clinton | |
|
8918 Woodyard Rd Clinton MD 20735 | |
| (301) 856-1122 | |
| (301) 856-1759 |
| Full Name | Audubon Dental Center Of Clinton |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8918 Woodyard Rd, Clinton, Maryland |
| Authorized Official Name and Position | Tamatha C. Pantano (OWNER) |
| Authorized Official Contact | 3018561122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Audubon Dental Center Of Clinton 8918 Woodyard Rd Clinton MD 20735 Ph: (301) 856-1122 | Audubon Dental Center Of Clinton 8918 Woodyard Rd Clinton MD 20735 Ph: (301) 856-1122 |
| NPI Number | 1497393219 |
|---|---|
| Provider Enumeration Date | 12/11/2019 |
| Last Update Date | 12/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497393219 | NPI | - | NPPES |
| 049843200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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