| State Of The Art Dental Group | |
|
801 Pleasant Dr Ste 160 Rockville MD 20850-5831 | |
| (240) 683-8111 | |
| Not Available |
| Full Name | State Of The Art Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 801 Pleasant Dr Ste 160, Rockville, Maryland |
| Authorized Official Name and Position | Kavish A Gurjar (OWNER) |
| Authorized Official Contact | 8187465914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of The Art Dental Group 16337 Columbus Ave Rockville MD 20855-2194 Ph: (818) 746-5914 | State Of The Art Dental Group 801 Pleasant Dr Ste 160 Rockville MD 20850-5831 Ph: (240) 683-8111 |
| NPI Number | 1346989522 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 05/14/2024 |
| Medicare PECOS PAC ID | 8224403837 |
|---|---|
| Medicare Enrollment ID | O20230413001173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346989522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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