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Keith Theodore, DDS
NPI 1902108897 · on the registry since 2010 · sole proprietor
Practice
- Address
- 16729 Queen Anne Rd
Upper Marlboro, MD 20774 - Phone
- (301) 613-2430
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-11-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland