Key West Crossing Dental Associates | |
15020 Shady Grove Rd Rockville MD 20850-3364 | |
(301) 738-2111 | |
Not Available |
Full Name | Key West Crossing Dental Associates |
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Speciality | Dentist |
Location | 15020 Shady Grove Rd, Rockville, Maryland |
Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175406078 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Key West Crossing Dental Associates 1200 Network Centre Drive Suite #2 Effingham IL 62401 Ph: (217) 540-8946 | Key West Crossing Dental Associates 15020 Shady Grove Rd Rockville MD 20850-3364 Ph: (301) 738-2111 |
NPI Number | 1952659153 |
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Provider Enumeration Date | 08/17/2012 |
Last Update Date | 06/07/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952659153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |
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