Susanne S. Wallengren, DDS, LLC
Susanne S. Wallengren, DDS, LLC provides Pediatric Dentistry in Lutherville, 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
2324 W Joppa Rd Ste 430Lutherville, MD 21093-4615 Not confirmed with CMS for 11 years — call before visiting
Phone: (410) 321-0200
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 12747 (MD) |
|---|
Record details
| NPI number | 1851769731 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Black — Practice Administrator · (410) 321-0200 |
| Other names | Joppa Green Pediatric Dentistry |
| NPI enumerated | September 9, 2015 |
| Last updated in NPPES | September 9, 2015 |
| Mailing address | 2324 W Joppa Rd, Suite 430, Lutherville, MD 21093-4615 |