Randolph Endodontics Orthodontics | |
512 E Randolph Rd Suite A Silver Spring MD 20904-3274 | |
(301) 384-9800 | |
Not Available |
Full Name | Randolph Endodontics Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 512 E Randolph Rd, Silver Spring, Maryland |
Authorized Official Name and Position | Maurice Nelson Gunraj (OWNER) |
Authorized Official Contact | 3013849800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Randolph Endodontics Orthodontics 512 E Randolph Rd Suite A Silver Spring MD 20904-3274 Ph: (301) 384-9800 | Randolph Endodontics Orthodontics 512 E Randolph Rd Suite A Silver Spring MD 20904-3274 Ph: (301) 384-9800 |
NPI Number | 1356476394 |
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Provider Enumeration Date | 02/22/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1356476394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 6922 (Maryland) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 12459 (Maryland) | Primary |
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