| Maryland Oral Surgery Associates, Llc | |
|
128 Lubrano Drive Suite 300 Annapolis MD 21401-7028 | |
| (410) 897-0111 | |
| (410) 897-0110 |
| Full Name | Maryland Oral Surgery Associates, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 128 Lubrano Drive, Annapolis, Maryland |
| Authorized Official Name and Position | Glenn A. Nathan (PRESIDENT) |
| Authorized Official Contact | 3013406884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Oral Surgery Associates, Llc 14955 Shady Grove Road Suite 350 Rockville MD 20850-8700 Ph: (301) 340-6884 | Maryland Oral Surgery Associates, Llc 128 Lubrano Drive Suite 300 Annapolis MD 21401-7028 Ph: (410) 897-0111 |
| NPI Number | 1265845739 |
|---|---|
| Provider Enumeration Date | 06/03/2014 |
| Last Update Date | 08/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265845739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Maryland) | Primary |
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