| Family Orthodontics Of Maryland Llc | |
|
9616 Marlboro Pike Upper Marlboro MD 20772 | |
| (301) 868-8838 | |
| Not Available |
| Full Name | Family Orthodontics Of Maryland Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9616 Marlboro Pike, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Tamonia Leonard (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6782444844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Orthodontics Of Maryland Llc 1350 Spring St Nw Ste 600 Atlanta GA 30309-2870 Ph: (770) 692-1000 | Family Orthodontics Of Maryland Llc 9616 Marlboro Pike Upper Marlboro MD 20772 Ph: (301) 868-8838 |
| NPI Number | 1689231870 |
|---|---|
| Provider Enumeration Date | 05/22/2019 |
| Last Update Date | 05/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689231870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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