| Family Dentistry Of Gaithersburg | |
|
501 N Frederick Ave Suite #109 Gaithersburg MD 20877-2507 | |
| (301) 527-8664 | |
| (301) 527-9365 |
| Full Name | Family Dentistry Of Gaithersburg |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 501 N Frederick Ave, Gaithersburg, Maryland |
| Authorized Official Name and Position | Jun Tae Bae (GENERAL DENTIST) |
| Authorized Official Contact | 3015278664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry Of Gaithersburg 501 N Frederick Ave Suite #109 Gaithersburg MD 20877-2507 Ph: (301) 527-8664 | Family Dentistry Of Gaithersburg 501 N Frederick Ave Suite #109 Gaithersburg MD 20877-2507 Ph: (301) 527-8664 |
| NPI Number | 1780812800 |
|---|---|
| Provider Enumeration Date | 06/26/2009 |
| Last Update Date | 06/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780812800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11589 (Maryland) | Primary |
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