| Fulton Pediatric Dental | |
|
11810 W Market Pl Ste 202 Fulton MD 20759-2703 | |
| (410) 988-4647 | |
| (410) 696-4927 |
| Full Name | Fulton Pediatric Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11810 W Market Pl Ste 202, Fulton, Maryland |
| Authorized Official Name and Position | Gal Hershko (OWNER) |
| Authorized Official Contact | 4107262548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fulton Pediatric Dental 8120 Westside Blvd Fulton MD 20759-2587 Ph: (410) 726-2548 | Fulton Pediatric Dental 11810 W Market Pl Ste 202 Fulton MD 20759-2703 Ph: (410) 988-4647 |
| NPI Number | 1295487155 |
|---|---|
| Provider Enumeration Date | 01/21/2022 |
| Last Update Date | 03/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295487155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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