| Integrative Oral & Facial Surgery, P.a. | |
|
1 Bank St Suite 240 Gaithersburg MD 20878-1504 | |
| (301) 926-4800 | |
| (301) 926-4899 |
| Full Name | Integrative Oral & Facial Surgery, P.a. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1 Bank St, Gaithersburg, Maryland |
| Authorized Official Name and Position | Jay S Nokkeo (PRESIDENT) |
| Authorized Official Contact | 3019264800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Oral & Facial Surgery, P.a. 1 Bank St Suite 240 Gaithersburg MD 20878-1504 Ph: (301) 926-4800 | Integrative Oral & Facial Surgery, P.a. 1 Bank St Suite 240 Gaithersburg MD 20878-1504 Ph: (301) 926-4800 |
| NPI Number | 1205150935 |
|---|---|
| Provider Enumeration Date | 03/24/2010 |
| Last Update Date | 02/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205150935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 13271 (Maryland) | Primary |
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