| Essex Dental Group Llc | |
|
6058 Rossville Blvd Baltimore MD 21221-3158 | |
| (410) 391-3801 | |
| Not Available |
| Full Name | Essex Dental Group Llc |
|---|---|
| Speciality | Dentist |
| Location | 6058 Rossville Blvd, Baltimore, Maryland |
| Authorized Official Name and Position | Alexander Cho (OWNER) |
| Authorized Official Contact | 4436761503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essex Dental Group Llc 9500 Sidebrook Rd #402 Owings Mills MD 21117-7593 Ph: () - | Essex Dental Group Llc 6058 Rossville Blvd Baltimore MD 21221-3158 Ph: (410) 391-3801 |
| NPI Number | 1053755900 |
|---|---|
| Provider Enumeration Date | 04/22/2013 |
| Last Update Date | 04/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053755900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14477 (Maryland) | Primary |
| 122300000X | Dentist | 13401 (Maryland) | Secondary |
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