| Vanguard Orthodontics | |
|
12230 Clarksville Pike Clarksville MD 21029-1477 | |
| (410) 381-1077 | |
| Not Available |
| Full Name | Vanguard Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 12230 Clarksville Pike, Clarksville, Maryland |
| Authorized Official Name and Position | Elizabeth Campbell (CEO) |
| Authorized Official Contact | 6175353305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanguard Orthodontics 131 Dartmouth St Fl 3 Boston MA 02116-5297 Ph: () - | Vanguard Orthodontics 12230 Clarksville Pike Clarksville MD 21029-1477 Ph: (410) 381-1077 |
| NPI Number | 1104586742 |
|---|---|
| Provider Enumeration Date | 12/22/2021 |
| Last Update Date | 05/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104586742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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