| Dudley Katz D.D.S.P.C. | |
|
101 Saint Claire Pl Suite 102 Stevensville MD 21666-2171 | |
| (410) 604-2222 | |
| Not Available |
| Full Name | Dudley Katz D.D.S.P.C. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 101 Saint Claire Pl, Stevensville, Maryland |
| Authorized Official Name and Position | Dudley Katz (OWNER/PRESIDENT) |
| Authorized Official Contact | 4106042222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dudley Katz D.D.S.P.C. 101 Saint Claire Pl Suite 102 Stevensville MD 21666-2171 Ph: (410) 604-2222 | Dudley Katz D.D.S.P.C. 101 Saint Claire Pl Suite 102 Stevensville MD 21666-2171 Ph: (410) 604-2222 |
| NPI Number | 1013176395 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 06/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013176395 | NPI | - | NPPES |
| 138454600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 6206 (Maryland) | Primary |
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