| Primecaredentalllc | |
|
11550 Philadelphia Rd Ste 118 White Marsh MD 21162-1305 | |
| (410) 256-4868 | |
| Not Available |
| Full Name | Primecaredentalllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11550 Philadelphia Rd Ste 118, White Marsh, Maryland |
| Authorized Official Name and Position | Armin Boutehsaz (OWNER) |
| Authorized Official Contact | 8182880469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primecaredentalllc 11550 Philadelphia Rd Ste 118 White Marsh MD 21162-1305 Ph: (410) 256-4868 | Primecaredentalllc 11550 Philadelphia Rd Ste 118 White Marsh MD 21162-1305 Ph: (410) 256-4868 |
| NPI Number | 1386100048 |
|---|---|
| Provider Enumeration Date | 02/18/2019 |
| Last Update Date | 02/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386100048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
White Marsh Pediatric Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5430 Campbell Blvd Ste 209, White Marsh, MD 21162 Phone: 443-725-4185 Fax: 443-725-4187 |