NPI 1134381270

Kids Teeth

Organisation Preferred Provider Organization Rockville, MD

Practice location

Address: 15200 Shady Grove Rd Suite #450, Rockville, MD 20850-3218
Phone: (301) 330-3222
Fax: (301) 330-3113

Authorised official

Name: Nazy Hacker
Title: Office Manager
Phone: (301) 330-3222

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 12149 (MD)

Other Preferred Provider Organization providers in Maryland →

Registry record

NPI: 1134381270
Entity type: Organization
NPI issued: 30 Jun 2008
Record last updated: 30 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.