| Children Dental Care, Inc. | |
|
803 Russell Ave Ste 2a Gaithersburg MD 20879-3584 | |
| (301) 216-1780 | |
| (301) 258-2800 |
| Full Name | Children Dental Care, Inc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 803 Russell Ave Ste 2a, Gaithersburg, Maryland |
| Authorized Official Name and Position | James Tong (DENTIST/OWNER) |
| Authorized Official Contact | 3012161780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children Dental Care, Inc. 803 Russell Ave Ste 2a Gaithersburg MD 20879-3584 Ph: (301) 216-1780 | Children Dental Care, Inc. 803 Russell Ave Ste 2a Gaithersburg MD 20879-3584 Ph: (301) 216-1780 |
| NPI Number | 1073939310 |
|---|---|
| Provider Enumeration Date | 03/11/2014 |
| Last Update Date | 03/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073939310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 12363 (Maryland) | Primary |
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