| Professional Corporation | |
|
4302 St Barnabas Rd Suites C & F Temple Hills MD 20748 | |
| (301) 630-5502 | |
| (301) 630-0287 |
| Full Name | Professional Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4302 St Barnabas Rd, Temple Hills, Maryland |
| Authorized Official Name and Position | Curtis Levy Williams (PRESIDENT CO OWNER) |
| Authorized Official Contact | 3016305502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Corporation 4302 St Barnabas Rd Suites C & F Temple Hills MD 20748 Ph: (301) 630-5502 | Professional Corporation 4302 St Barnabas Rd Suites C & F Temple Hills MD 20748 Ph: (301) 630-5502 |
| NPI Number | 1487726758 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 12/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487726758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7779 (Maryland) | Primary |
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