| Carroll County Pediatric Dentistry & Orthodontics | |
|
205 Washington Heights Medical Center Westminster MD 21157 | |
| (443) 487-9435 | |
| Not Available |
| Full Name | Carroll County Pediatric Dentistry & Orthodontics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 205 Washington Heights Medical Center, Westminster, Maryland |
| Authorized Official Name and Position | Marshall Wesley Fesche (OWNER) |
| Authorized Official Contact | 4109358016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carroll County Pediatric Dentistry & Orthodontics 1302 Musgrove Road Timonium MD 21093 Ph: (410) 935-8016 | Carroll County Pediatric Dentistry & Orthodontics 205 Washington Heights Medical Center Westminster MD 21157 Ph: (443) 487-9435 |
| NPI Number | 1336902097 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336902097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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