Frederick Family And Cosmetic Dentistry | |
198 Thomas Johnson Dr Suite 18 Frederick MD 21702-4398 | |
(301) 644-8006 | |
Not Available |
Full Name | Frederick Family And Cosmetic Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 198 Thomas Johnson Dr, Frederick, Maryland |
Authorized Official Name and Position | Riku Mukherjee (OWNER) |
Authorized Official Contact | 4437945628 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Frederick Family And Cosmetic Dentistry 198 Thomas Johnson Dr Suite 18 Frederick MD 21702-4398 Ph: (301) 644-8006 | Frederick Family And Cosmetic Dentistry 198 Thomas Johnson Dr Suite 18 Frederick MD 21702-4398 Ph: (301) 644-8006 |
NPI Number | 1063786044 |
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Provider Enumeration Date | 03/08/2012 |
Last Update Date | 03/08/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063786044 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 15087 (Maryland) | Primary |
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› Verified 6 days ago
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