| Cpdg-dd, LLC | |
|
4009 North Point Blvd Suite 101 Dundalk MD 21222 | |
| (410) 388-8273 | |
| Not Available |
| Full Name | Cpdg-dd, LLC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4009 North Point Blvd, Dundalk, Maryland |
| Authorized Official Name and Position | Hakan Omer Koymen (PRESIDENT) |
| Authorized Official Contact | 4109794483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cpdg-dd, LLC 5009 Honeygo Center Dr Ste 228 Perry Hall MD 21128-9842 Ph: (410) 248-3384 | Cpdg-dd, LLC 4009 North Point Blvd Suite 101 Dundalk MD 21222 Ph: (410) 388-8273 |
| NPI Number | 1962167510 |
|---|---|
| Provider Enumeration Date | 11/08/2021 |
| Last Update Date | 11/08/2021 |
| Certification Date | 10/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962167510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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