Pediatric Dental Center Of Frederick, Llc is a health care provider in Frederick, MD. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||7360 Guilford Dr, 102, Frederick, MD 21704-5124, US|
|Practice Location Phone||301-668-2662|
|Practice Location Fax|
|Legal Business Name||PEDIATRIC DENTAL CENTER OF FREDERICK, LLC|
|Enumeration Date ?||Nov 30, 2006|
|Last Update Date ?||Jan 5, 2011|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Dentist||Dental Providers||Pediatric Dentistry||14165||Maryland|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Pediatric Dental Center Of Frederick, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Dr. Robert W Mansman (DDS)|
|Authorized Official Title/Position||OWNER|
|Authorized Official Phone Number||301-668-2662|