| Brandywine Cosmetic and Family Dentistry | |
|
15908 Crain Hwy Unit D Brandywine MD 20613-8032 | |
| (301) 782-9061 | |
| (301) 782-9063 |
| Full Name | Brandywine Cosmetic and Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15908 Crain Hwy Unit D, Brandywine, Maryland |
| Authorized Official Name and Position | Shannon Chapman (OWNER/DENTIST) |
| Authorized Official Contact | 4437568484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandywine Cosmetic and Family Dentistry 15908 Crain Hwy Unit D Brandywine MD 20613-8032 Ph: (301) 782-9061 | Brandywine Cosmetic and Family Dentistry 15908 Crain Hwy Unit D Brandywine MD 20613-8032 Ph: (301) 782-9061 |
| NPI Number | 1134722853 |
|---|---|
| Provider Enumeration Date | 11/17/2020 |
| Last Update Date | 12/09/2020 |
| Certification Date | 12/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134722853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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