Eze Dental Llc | |
1400 Mercantile Ln Ste 100 Largo MD 20774-5355 | |
(857) 269-9114 | |
Not Available |
Full Name | Eze Dental Llc |
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Speciality | Dentist |
Location | 1400 Mercantile Ln Ste 100, Largo, Maryland |
Authorized Official Name and Position | Chibueze George Okoro (CEO/OWNER) |
Authorized Official Contact | 8572699114 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Eze Dental Llc 1400 Mercantile Ln Ste 100 Largo MD 20774-5355 Ph: (301) 925-8600 | Eze Dental Llc 1400 Mercantile Ln Ste 100 Largo MD 20774-5355 Ph: (857) 269-9114 |
NPI Number | 1194328203 |
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Provider Enumeration Date | 11/19/2020 |
Last Update Date | 05/09/2023 |
Medicare PECOS PAC ID | 7618335316 |
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Medicare Enrollment ID | O20230627002218 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194328203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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