| Bereded Dental Pc | |
|
4813 Marlboro Pike Capitol Heights MD 20743-5283 | |
| (301) 420-2211 | |
| Not Available |
| Full Name | Bereded Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 4813 Marlboro Pike, Capitol Heights, Maryland |
| Authorized Official Name and Position | Dereje Bereded (OWNER) |
| Authorized Official Contact | 3014202211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bereded Dental Pc 4813 Marlboro Pike Capitol Heights MD 20743-5283 Ph: (301) 420-2211 | Bereded Dental Pc 4813 Marlboro Pike Capitol Heights MD 20743-5283 Ph: (301) 420-2211 |
| NPI Number | 1841535549 |
|---|---|
| Provider Enumeration Date | 12/06/2012 |
| Last Update Date | 12/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841535549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14917 (Maryland) | Primary |
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