| Koyomji Dental | |
|
8218 Wisconsin Ave Suite 200 Bethesda MD 20814-3107 | |
| (301) 654-1111 | |
| (301) 654-2227 |
| Full Name | Koyomji Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8218 Wisconsin Ave, Bethesda, Maryland |
| Authorized Official Name and Position | Richard Koyomji (PRESIDENT) |
| Authorized Official Contact | 3016541111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koyomji Dental 8218 Wisconsin Ave Suite 200 Bethesda MD 20814-3107 Ph: (301) 654-1111 | Koyomji Dental 8218 Wisconsin Ave Suite 200 Bethesda MD 20814-3107 Ph: (301) 654-1111 |
| NPI Number | 1992916092 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992916092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12381 (Maryland) | Primary |
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