| Gaithersburg Ortho Llc | |
|
814 W Diamond Ave Ste 300 Gaithersburg MD 20878-1448 | |
| (301) 948-7660 | |
| Not Available |
| Full Name | Gaithersburg Ortho Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 814 W Diamond Ave Ste 300, Gaithersburg, Maryland |
| Authorized Official Name and Position | Robert Yu (OWNER) |
| Authorized Official Contact | 4439106426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaithersburg Ortho Llc 814 W Diamond Ave Ste 300 Gaithersburg MD 20878-1448 Ph: (301) 948-7660 | Gaithersburg Ortho Llc 814 W Diamond Ave Ste 300 Gaithersburg MD 20878-1448 Ph: (301) 948-7660 |
| NPI Number | 1619590668 |
|---|---|
| Provider Enumeration Date | 05/26/2020 |
| Last Update Date | 05/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619590668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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