| Gregg Satoru Taira, Dds, Pa | |
|
2 Professional Dr Suite 245 Gaithersburg MD 20879-3408 | |
| (301) 963-9690 | |
| (301) 963-1631 |
| Full Name | Gregg Satoru Taira, Dds, Pa |
|---|---|
| Speciality | Dentist |
| Location | 2 Professional Dr, Gaithersburg, Maryland |
| Authorized Official Name and Position | Gregg Satoru Taira (PRESIDENT) |
| Authorized Official Contact | 3019639690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregg Satoru Taira, Dds, Pa 2 Professional Dr Suite 245 Gaithersburg MD 20879-3408 Ph: (301) 963-9690 | Gregg Satoru Taira, Dds, Pa 2 Professional Dr Suite 245 Gaithersburg MD 20879-3408 Ph: (301) 963-9690 |
| NPI Number | 1699977231 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 11/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699977231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9304 (Maryland) | Primary |
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