| Ronald F. Gravitz, P.a. | |
|
15020 Shady Grove Rd 360 Rockville MD 20850-3364 | |
| (301) 762-2236 | |
| Not Available |
| Full Name | Ronald F. Gravitz, P.a. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 15020 Shady Grove Rd, Rockville, Maryland |
| Authorized Official Name and Position | Ronald Frank Gravitz (OWNER) |
| Authorized Official Contact | 3017622236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald F. Gravitz, P.a. 15020 Shady Grove Rd 360 Rockville MD 20850-3364 Ph: (301) 762-2236 | Ronald F. Gravitz, P.a. 15020 Shady Grove Rd 360 Rockville MD 20850-3364 Ph: (301) 762-2236 |
| NPI Number | 1922028216 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922028216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 6317 (Maryland) | Primary |
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