| Akj Dental, Dds, Llc | |
|
12317 Winchester Rd Sw Ste 100 Lavale MD 21502-6547 | |
| (240) 803-3487 | |
| (301) 729-2397 |
| Full Name | Akj Dental, Dds, Llc |
|---|---|
| Speciality | Dentist |
| Location | 12317 Winchester Rd Sw, Lavale, Maryland |
| Authorized Official Name and Position | Jason Bertollini (PRS) |
| Authorized Official Contact | 8662738204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Akj Dental, Dds, Llc Po Box 3189 Syracuse NY 13220-3189 Ph: (866) 273-8204 | Akj Dental, Dds, Llc 12317 Winchester Rd Sw Ste 100 Lavale MD 21502-6547 Ph: (240) 803-3487 |
| NPI Number | 1629423694 |
|---|---|
| Provider Enumeration Date | 04/27/2016 |
| Last Update Date | 04/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629423694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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