| Fenton Family Dental | |
|
8913 Woodyard Rd B Clinton MD 20735-4257 | |
| (301) 363-2336 | |
| (301) 363-2317 |
| Full Name | Fenton Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 8913 Woodyard Rd, Clinton, Maryland |
| Authorized Official Name and Position | Kyiah D Gill (OFFICE MANAGER) |
| Authorized Official Contact | 2408395100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fenton Family Dental 8913 Woodyard Rd B Clinton MD 20735-4257 Ph: (301) 363-2336 | Fenton Family Dental 8913 Woodyard Rd B Clinton MD 20735-4257 Ph: (301) 363-2336 |
| NPI Number | 1568895613 |
|---|---|
| Provider Enumeration Date | 08/13/2013 |
| Last Update Date | 08/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568895613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14056 (Maryland) | Primary |
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