Boston Dental Group | |
4701 Randolph Rd Ste 115 Rockville MD 20852-2260 | |
(301) 770-7710 | |
Not Available |
Full Name | Boston Dental Group |
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Speciality | Dentist - General Practice |
Location | 4701 Randolph Rd Ste 115, Rockville, Maryland |
Authorized Official Name and Position | Jacqueline You (PRESIDENT) |
Authorized Official Contact | 3017707710 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Boston Dental Group 4701 Randolph Rd Ste 115 Rockville MD 20852-2260 Ph: (301) 770-7710 | Boston Dental Group 4701 Randolph Rd Ste 115 Rockville MD 20852-2260 Ph: (301) 770-7710 |
NPI Number | 1265733059 |
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Provider Enumeration Date | 11/09/2010 |
Last Update Date | 11/09/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265733059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 13904 (Maryland) | Primary |
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