| Andersen Dental Llc | |
|
1820 Lancaster St Suite 100 Baltimore MD 21231-3584 | |
| (410) 929-1808 | |
| Not Available |
| Full Name | Andersen Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1820 Lancaster St, Baltimore, Maryland |
| Authorized Official Name and Position | Michelle Andersen (DENTIST/OWNER) |
| Authorized Official Contact | 4109291808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andersen Dental Llc 1820 Lancaster St Suite 100 Baltimore MD 21231-3584 Ph: () - | Andersen Dental Llc 1820 Lancaster St Suite 100 Baltimore MD 21231-3584 Ph: (410) 929-1808 |
| NPI Number | 1215282611 |
|---|---|
| Provider Enumeration Date | 07/21/2012 |
| Last Update Date | 07/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215282611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 15089 (Maryland) | Primary |
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