| Pediatric Dentistry Of Maryland, Llc | |
|
4595 Van Buren St Ste 230 Riverdale Park MD 20737-1080 | |
| (607) 227-3198 | |
| Not Available |
| Full Name | Pediatric Dentistry Of Maryland, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4595 Van Buren St Ste 230, Riverdale Park, Maryland |
| Authorized Official Name and Position | Hojung Cho (PRESIDENT) |
| Authorized Official Contact | 6072273198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Maryland, Llc 5828 White Pebble Path Clarksville MD 21029-1664 Ph: (607) 227-3198 | Pediatric Dentistry Of Maryland, Llc 4595 Van Buren St Ste 230 Riverdale Park MD 20737-1080 Ph: (607) 227-3198 |
| NPI Number | 1609491679 |
|---|---|
| Provider Enumeration Date | 06/15/2020 |
| Last Update Date | 06/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609491679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |