Marla Kush Prokop, Dmd, Pa | |
621 Ridgely Ave Suite 202 Annapolis MD 21401-1081 | |
(410) 897-1931 | |
(410) 897-1932 |
Full Name | Marla Kush Prokop, Dmd, Pa |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 621 Ridgely Ave, Annapolis, Maryland |
Authorized Official Name and Position | Marla Kush Prokop (PEDIATRIC DENTIST) |
Authorized Official Contact | 4108971931 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Marla Kush Prokop, Dmd, Pa 621 Ridgely Ave Suite 202 Annapolis MD 21401-1081 Ph: (410) 897-1931 | Marla Kush Prokop, Dmd, Pa 621 Ridgely Ave Suite 202 Annapolis MD 21401-1081 Ph: (410) 897-1931 |
NPI Number | 1194949214 |
---|---|
Provider Enumeration Date | 04/12/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194949214 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 12877 (Maryland) | Primary |
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