| The Wobbly Tooth | |
|
176 Thomas Johnson Dr Ste 200 Frederick MD 21702-4532 | |
| (301) 663-4012 | |
| Not Available |
| Full Name | The Wobbly Tooth |
|---|---|
| Speciality | Dentist |
| Location | 176 Thomas Johnson Dr Ste 200, Frederick, Maryland |
| Authorized Official Name and Position | Caroline Reed (CONSULTANT) |
| Authorized Official Contact | 4432853385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wobbly Tooth 176 Thomas Johnson Dr Ste 200 Frederick MD 21702-4532 | The Wobbly Tooth 176 Thomas Johnson Dr Ste 200 Frederick MD 21702-4532 Ph: (301) 663-4012 |
| NPI Number | 1477238848 |
|---|---|
| Provider Enumeration Date | 06/21/2023 |
| Last Update Date | 06/21/2023 |
| Certification Date | 06/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477238848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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