Marlborough Village Orthodontics | |
5098 Brown Station Road Suite 260 Upper Marlboro MD 20772 | |
(240) 326-3738 | |
Not Available |
Full Name | Marlborough Village Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 5098 Brown Station Road Suite 260, Upper Marlboro, Maryland |
Authorized Official Name and Position | Adrian Johnston Wilson (DENTIST/OWNER) |
Authorized Official Contact | 4432800968 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Marlborough Village Orthodontics 14300 Ridge View Lane Laurel MD 20707 Ph: (443) 280-0968 | Marlborough Village Orthodontics 5098 Brown Station Road Suite 260 Upper Marlboro MD 20772 Ph: (240) 326-3738 |
NPI Number | 1720700669 |
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Provider Enumeration Date | 09/16/2022 |
Last Update Date | 09/16/2022 |
Identifier | Type | State | Issuer |
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1720700669 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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