| Perio1 Llc | |
|
903 Russell Ave Ste 300 Gaithersburg MD 20879-3282 | |
| (301) 869-8884 | |
| (301) 869-8870 |
| Full Name | Perio1 Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 903 Russell Ave Ste 300, Gaithersburg, Maryland |
| Authorized Official Name and Position | Gerard Boquel (OWNER) |
| Authorized Official Contact | 3018698884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perio1 Llc 903 Russell Ave Ste 300 Gaithersburg MD 20879-3282 Ph: (301) 869-8884 | Perio1 Llc 903 Russell Ave Ste 300 Gaithersburg MD 20879-3282 Ph: (301) 869-8884 |
| NPI Number | 1295568913 |
|---|---|
| Provider Enumeration Date | 08/20/2024 |
| Last Update Date | 08/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295568913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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