| Choptank Mobile Van #1 Dental | |
|
808 S 5th Ave Denton MD 21629-1398 | |
| (410) 479-5772 | |
| (410) 479-8397 |
| Full Name | Choptank Mobile Van #1 Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 808 S 5th Ave, Denton, Maryland |
| Authorized Official Name and Position | Sara Rich (CEO) |
| Authorized Official Contact | 4104794306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choptank Mobile Van #1 Dental 808 S 5th Ave Denton MD 21629-1398 Ph: (410) 479-5772 | Choptank Mobile Van #1 Dental 808 S 5th Ave Denton MD 21629-1398 Ph: (410) 479-5772 |
| NPI Number | 1982361911 |
|---|---|
| Provider Enumeration Date | 11/24/2021 |
| Last Update Date | 04/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982361911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Mary C. Trahar, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 52 Denton Plz, Denton, MD 21629 Phone: 410-280-2484 | |
Taiwo Osunkoya Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 414 N 6th Street, Denton, MD 21629 Phone: 410-479-9466 Fax: 410-479-9488 |