| Lgm Dds Llc | |
|
6020 Meadow Rdg Ctr Dr Suite A Elkridge MD 21075-6088 | |
| (410) 799-1794 | |
| (410) 799-1794 |
| Full Name | Lgm Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6020 Meadow Rdg Ctr Dr, Elkridge, Maryland |
| Authorized Official Name and Position | Mehret Goitom (OFFICE MANAGER) |
| Authorized Official Contact | 4107991793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lgm Dds Llc 6020 Meadow Rdg Ctr Dr Suite A Elkridge MD 21075-6088 Ph: (410) 799-1794 | Lgm Dds Llc 6020 Meadow Rdg Ctr Dr Suite A Elkridge MD 21075-6088 Ph: (410) 799-1794 |
| NPI Number | 1861824104 |
|---|---|
| Provider Enumeration Date | 08/08/2013 |
| Last Update Date | 11/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861824104 | NPI | - | NPPES |
| 1912215856 | Other | MD | INDIVIDUAL NPI NUMBER |
| 04607880 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14610 (Maryland) | Primary |
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