Family Values Dental LLC

Organization Active NPI General Practice Dentistry · Lavale, MD

NPI 1093083008 · NPPES record last updated Dec 5, 2011

Key facts

NPI
1093083008
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
FAMILY VALUES DENTAL LLC
Practice address
772 National Hwy
Lavale, MD 21502-7349
Phone
(301) 729-6911
NPI assigned
Dec 5, 2011
Organization subpart
No

Authorized official

Name
Ryan Wratchford
Title
Member
Phone
(301) 729-6911

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

772 National Hwy
Lavale, MD 21502
Phone (301) 729-6911

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

772 National Hwy
Lavale, MD 21502-7349

Mailing address

772 National Hwy
Lavale, MD 21502-7349

Other providers in Lavale, MD

All providers in Lavale, MD · General Practice Dentistry in Maryland

Sources for this page

Verify at the official NPI Registry.