| Children's Dentistry At Odenton | |
|
1215 Annapolis Rd Suite 106 Odenton MD 21113-1344 | |
| (410) 672-1100 | |
| (410) 672-1107 |
| Full Name | Children's Dentistry At Odenton |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1215 Annapolis Rd, Odenton, Maryland |
| Authorized Official Name and Position | Maria Sevilla Guevara (PRESIDENT) |
| Authorized Official Contact | 4106721100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dentistry At Odenton 1215 Annapolis Rd Suite 106 Odenton MD 21113-1344 Ph: (410) 672-1100 | Children's Dentistry At Odenton 1215 Annapolis Rd Suite 106 Odenton MD 21113-1344 Ph: (410) 672-1100 |
| NPI Number | 1376820654 |
|---|---|
| Provider Enumeration Date | 11/14/2011 |
| Last Update Date | 11/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376820654 | NPI | - | NPPES |
| 135705100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 12374 (Maryland) | Primary |
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