| Kentlands Family Dentistry | |
|
11908 Darnestown Road E Gaithersburg MD 20878 | |
| (301) 347-5300 | |
| (301) 647-3720 |
| Full Name | Kentlands Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11908 Darnestown Road, Gaithersburg, Maryland |
| Authorized Official Name and Position | Pamela Chico Cornejo (OWNER) |
| Authorized Official Contact | 3019475300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentlands Family Dentistry 11908 Darnestown Road E North Potomac MD 20878 Ph: (301) 347-5300 | Kentlands Family Dentistry 11908 Darnestown Road E Gaithersburg MD 20878 Ph: (301) 347-5300 |
| NPI Number | 1255504148 |
|---|---|
| Provider Enumeration Date | 04/11/2008 |
| Last Update Date | 04/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255504148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11898 (Maryland) | Primary |
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