| Maryland Oral Surgery Associates Pa | |
|
1667 Crofton Ctr Suite 7a Crofton MD 21114-1303 | |
| (410) 721-0700 | |
| (410) 721-5459 |
| Full Name | Maryland Oral Surgery Associates Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1667 Crofton Ctr, Crofton, Maryland |
| Authorized Official Name and Position | Maureen Petersen (OPERATIONS MANAGER) |
| Authorized Official Contact | 3013406884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Oral Surgery Associates Pa 14955 Shady Grove Rd Suite 330 Rockville MD 20850-8700 Ph: (301) 340-6884 | Maryland Oral Surgery Associates Pa 1667 Crofton Ctr Suite 7a Crofton MD 21114-1303 Ph: (410) 721-0700 |
| NPI Number | 1346415882 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346415882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12859 (Maryland) | Primary |
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