Provider First Line Business Practice Location Address:
401 W 7TH STREET
Provider Second Line Business Practice Location Address:
FREDERICK DENTAL
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:
301-662-7766
Provider Business Practice Location Address Fax Number:
301-662-7776
Provider Enumeration Date:
11/05/2014