| Breezy Hill Ortho Group, Llc | |
|
3905 National Dr Ste 340 Burtonsville MD 20866-6111 | |
| (301) 857-9096 | |
| Not Available |
| Full Name | Breezy Hill Ortho Group, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3905 National Dr Ste 340, Burtonsville, Maryland |
| Authorized Official Name and Position | Latoya Callahan (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 3018579096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breezy Hill Ortho Group, Llc 3905 National Dr Ste 340 Burtonsville MD 20866-6111 Ph: () - | Breezy Hill Ortho Group, Llc 3905 National Dr Ste 340 Burtonsville MD 20866-6111 Ph: (301) 857-9096 |
| NPI Number | 1073330726 |
|---|---|
| Provider Enumeration Date | 09/24/2024 |
| Last Update Date | 09/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073330726 | NPI | - | NPPES |
| 16218 | Other | MD | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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