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Contact Information

AESTHETIC & FAMILY DENTAL CARE
8170 MAPLE LAWN BLVD
SUITE#150
FULTON, MD20759-2537
 Phone: 240-456-0717
 Fax: 240-456-0719
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AESTHETIC FAMILY DENTAL CARE · (Female)

NPI # 1528108214
Status Active
Credentials
Entity Individual
Enumeration date 02/08/2007
Last updated 12/14/2010 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD License # 11926
  • MD Other 30396 AETNA HMO
  • MD Other 930396 AETNA PPO
  • MD Other 7458 BCBS
  • MD Other IB03TT DENTAMAX
  • MD Other 256537 MAMSI
  • MD Other 228939 TRIGON VA
  • MD Other 903494 UNITED CONCORDIA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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