Mount Airy Dental Center | |
1517 Ridgeside Dr Mount Airy MD 21771-5285 | |
(301) 829-2220 | |
Not Available |
Full Name | Mount Airy Dental Center |
---|---|
Speciality | Clinic/center - Dental |
Location | 1517 Ridgeside Dr, Mount Airy, Maryland |
Authorized Official Name and Position | Olumide Bolarinwa (OWNER) |
Authorized Official Contact | 3018292220 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mount Airy Dental Center 1517 Ridgeside Dr Mount Airy MD 21771-5285 Ph: (301) 829-2220 | Mount Airy Dental Center 1517 Ridgeside Dr Mount Airy MD 21771-5285 Ph: (301) 829-2220 |
NPI Number | 1205422573 |
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Provider Enumeration Date | 12/21/2020 |
Last Update Date | 12/21/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205422573 | NPI | - | NPPES |
1164545794 | Other | MD | DENTIST |
1265982482 | Other | MD | DENTIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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