| Pediatric Dentistry | |
|
10085 Dunkirk Way Ste 103 Dunkirk MD 20754-2024 | |
| (410) 257-7676 | |
| (410) 257-7676 |
| Full Name | Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 10085 Dunkirk Way Ste 103, Dunkirk, Maryland |
| Authorized Official Name and Position | Jose Carlos Juambeltz (OWNER) |
| Authorized Official Contact | 4102577676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Po Box 219 Dunkirk MD 20754-0219 Ph: (410) 257-7676 | Pediatric Dentistry 10085 Dunkirk Way Ste 103 Dunkirk MD 20754-2024 Ph: (410) 257-7676 |
| NPI Number | 1992476469 |
|---|---|
| Provider Enumeration Date | 09/24/2021 |
| Last Update Date | 09/24/2021 |
| Certification Date | 09/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992476469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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