| Loch Ridge Dental Care | |
|
1708 Joan Ave Baltimore MD 21234-3717 | |
| (410) 668-7171 | |
| (410) 668-7172 |
| Full Name | Loch Ridge Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1708 Joan Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Marie Kuhl (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loch Ridge Dental Care 1708 Joan Ave Baltimore MD 21234-3717 Ph: (410) 668-7171 | Loch Ridge Dental Care 1708 Joan Ave Baltimore MD 21234-3717 Ph: (410) 668-7171 |
| NPI Number | 1366795312 |
|---|---|
| Provider Enumeration Date | 10/16/2012 |
| Last Update Date | 11/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366795312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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