| Greater Maryland Oral Surgery Center Llc | |
|
985 Russell Ave Gaithersburg MD 20879-6211 | |
| (301) 926-2928 | |
| Not Available |
| Full Name | Greater Maryland Oral Surgery Center Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 985 Russell Ave, Gaithersburg, Maryland |
| Authorized Official Name and Position | Michael Cole (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Contact | 7274242990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Maryland Oral Surgery Center Llc 985 Russell Ave Gaithersburg MD 20879-6211 Ph: (301) 926-2928 | Greater Maryland Oral Surgery Center Llc 985 Russell Ave Gaithersburg MD 20879-6211 Ph: (301) 926-2928 |
| NPI Number | 1912676917 |
|---|---|
| Provider Enumeration Date | 09/13/2021 |
| Last Update Date | 09/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912676917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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