| Revive, Dds, Llc | |
|
4601 N Park Ave # C7 Chevy Chase MD 20815-4519 | |
| (301) 664-9596 | |
| Not Available |
| Full Name | Revive, Dds, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4601 N Park Ave # C7, Chevy Chase, Maryland |
| Authorized Official Name and Position | Caroline Reed (CONSULTANT) |
| Authorized Official Contact | 4432853385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive, Dds, Llc 4601 N Park Ave # C7 Chevy Chase MD 20815-4519 Ph: (301) 664-9596 | Revive, Dds, Llc 4601 N Park Ave # C7 Chevy Chase MD 20815-4519 Ph: (301) 664-9596 |
| NPI Number | 1336894708 |
|---|---|
| Provider Enumeration Date | 02/15/2022 |
| Last Update Date | 02/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336894708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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