CCDC PROFESSIONALS LLC NPI 1083363410

NPI Information

CCDC PROFESSIONALS, LLC is a dental clinic center in Baltimore, MD. CCDC PROFESSIONALS, LLC NPI is 1083363410. The provider is registered as an organization entity type.

The provider's business location address is:

3421 BENSON AVE STE G100
BALTIMORE, MD
ZIP 21227-134
Phone: (301) 494-3000

The provider's authorized official is Jeffrey Wheeler .
The authorized official title is Business Manager and has the following contact phone number (301) 494-3000.

The enumeration date for this NPI number is 3/22/2022 and was last updated on 3/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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