Centennial Dental
Centennial Dental is a Dental Clinic/Center in Ellicott City, Maryland. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
10318A Baltimore National PikeEllicott City, MD 21042-2128
Phone: (410) 480-2710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1376319202 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Petro Tymiuk — Dentist · (410) 480-2710 |
| NPI enumerated | December 1, 2023 |
| Last updated in NPPES | December 1, 2023 |
| Certification date | December 1, 2023 |
| Mailing address | 10318a Baltimore National Pike, Ellicott City, MD 21042-2128 |
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