Aqua Cosmetic and Family Dentistry LLC
Aqua Cosmetic and Family Dentistry LLC provides General Practice Dentistry in Ellicott City, Maryland. Licensed in Maryland. Registered with an NPI since 2015.
- Licensed in
- MD
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9011 Chevrolet Dr Ste 9Ellicott City, MD 21042-4024 Not confirmed with CMS for 11 years — call before visiting
Phone: (410) 750-7051
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 13285 (MD) |
|---|
Record details
| NPI number | 1801286661 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Farnaz Ghane — Ceo · (410) 750-7051 |
| NPI enumerated | February 2, 2015 |
| Last updated in NPPES | February 2, 2015 |
| Mailing address | 9011 Chevrolet Dr, Suite 9, Ellicott City, MD 21042-4024 |
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Alexa H Angelos, DDS
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Craig Blucher, DDS
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Dr. Damian D Blum, DMD, PA
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Dr. Robert Wayne Boman, DDS
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Cory Callahan
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