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Pediatric Dental Center Of Frederick, Llc

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.

physician-icon Basic Information

Practice Location 7360 Guilford Dr, 102, Frederick, MD 21704-5124, US
Practice Location Phone301-668-2662
Practice Location Fax
Legal Business NamePEDIATRIC DENTAL CENTER OF FREDERICK, LLC
NPI ?1114094398
Entity TypeOrganization
Enumeration Date ? Nov 30, 2006
Last Update Date ? Jan 5, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Pediatric Dental Center Of Frederick, Llc

SpecialtySpecializationLicenseLicense State
DentistPediatric Dentistry 14165Maryland

official-icon Authorized Official of Pediatric Dental Center Of Frederick, Llc

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/PositionOWNER
Authorized Official Phone Number301-668-2662