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7700 Old Branch Ave Ste E102 Clinton MD 20735-1628 | |
| (301) 449-3350 | |
| (301) 952-8515 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7700 Old Branch Ave Ste E102, Clinton, Maryland |
| Authorized Official Name and Position | Yoonchul Roh (OWNER/DENTIST) |
| Authorized Official Contact | 4436182839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7700 Old Branch Ave Ste E102 Clinton MD 20735-1628 Ph: (301) 449-3350 | 7700 Old Branch Ave Ste E102 Clinton MD 20735-1628 Ph: (301) 449-3350 |
| NPI Number | 1962830349 |
|---|---|
| Provider Enumeration Date | 10/23/2013 |
| Last Update Date | 10/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962830349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13225 (Maryland) | Primary |
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