Divine Dental LLC
Divine Dental LLC is a General Practice Dentistry in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2010.
- Licensed in
- MD
- In the registry since
- 2010
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4801 Ritchie HwyBaltimore, MD 21225-3045
Phone: (410) 789-5228
Fax: (410) 789-2162
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 7069 (MD) |
|---|
Record details
| NPI number | 1710299268 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Divine Dental LLC |
| Authorized official | Maryellen Desrochers — Office Manager · (410) 789-5228 |
| Other names | Brooklyn Park Dental Center |
| NPI enumerated | July 12, 2010 |
| Last updated in NPPES | November 14, 2023 |
| Certification date | November 14, 2023 |
| Mailing address | 4801 Ritchie Hwy, Baltimore, MD 21225-3045 |
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