| Chevy Chase Cosmetic And Implant Dentistry | |
|
5454 Wisconsin Ave Suite 1500 Chevy Chase MD 20815-6922 | |
| (301) 652-9717 | |
| Not Available |
| Full Name | Chevy Chase Cosmetic And Implant Dentistry |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 5454 Wisconsin Ave, Chevy Chase, Maryland |
| Authorized Official Name and Position | Flavio Rasetto (OWNER) |
| Authorized Official Contact | 3016529717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chevy Chase Cosmetic And Implant Dentistry 5454 Wisconsin Ave Suite 1500 Chevy Chase MD 20815-6922 Ph: (301) 652-9717 | Chevy Chase Cosmetic And Implant Dentistry 5454 Wisconsin Ave Suite 1500 Chevy Chase MD 20815-6922 Ph: (301) 652-9717 |
| NPI Number | 1245690270 |
|---|---|
| Provider Enumeration Date | 03/03/2016 |
| Last Update Date | 03/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245690270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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