Pediatric Dental Center of Frederick, LLC
Pediatric Dental Center of Frederick, LLC provides Pediatric Dentistry in Frederick, Maryland. Licensed in Maryland. Registered with an NPI since 2006.
- Licensed in
- MD
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7360 Guilford Dr 102Frederick, MD 21704-5124 Not confirmed with CMS for 15 years — call before visiting
Phone: (301) 668-2662
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
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 14165 (MD) |
|---|
Record details
| NPI number | 1114094398 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Mansman — Owner · (301) 668-2662 |
| NPI enumerated | November 30, 2006 |
| Last updated in NPPES | January 5, 2011 |
| Mailing address | 7360 Guilford Dr, Suite 102, Frederick, MD 21704-5124 |
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Dr. Garima Gupta, DDS
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Dr. Hoa T K Lam, DDS
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Dr. Thiruvanamalai P Sivakumar, DDS
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