Provider First Line Business Practice Location Address:
337 WEST PATRICK STREET
Provider Second Line Business Practice Location Address:
FREDERICK COSMETIC & FAMILY DENTISTRY
Provider Business Practice Location Address City Name:
FREDERICK
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-698-8200
Provider Business Practice Location Address Fax Number:
301-698-8201
Provider Enumeration Date:
09/23/2009