| Prestige Periodontics Rockville Llc | |
|
1801 Rockville Pike Ste 101 Rockville MD 20852-1633 | |
| (301) 681-4812 | |
| Not Available |
| Full Name | Prestige Periodontics Rockville Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1801 Rockville Pike Ste 101, Rockville, Maryland |
| Authorized Official Name and Position | Duane Bennett (MEMBER) |
| Authorized Official Contact | 3016814812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Periodontics Rockville Llc 1801 Rockville Pike Ste 101 Rockville MD 20852-1633 Ph: (301) 681-4812 | Prestige Periodontics Rockville Llc 1801 Rockville Pike Ste 101 Rockville MD 20852-1633 Ph: (301) 681-4812 |
| NPI Number | 1184377350 |
|---|---|
| Provider Enumeration Date | 01/28/2022 |
| Last Update Date | 01/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184377350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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