| Shady Grove Children's Gad, Llc | |
|
15001 Shady Grove Rd Ste 110 Rockville MD 20850-6354 | |
| (301) 494-3000 | |
| Not Available |
| Full Name | Shady Grove Children's Gad, Llc |
|---|---|
| Speciality | Dentist |
| Location | 15001 Shady Grove Rd Ste 110, Rockville, Maryland |
| Authorized Official Name and Position | Jeffrey Wheeler (CEO) |
| Authorized Official Contact | 3014943000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shady Grove Children's Gad, Llc 1220 Caraway Ct Ste 1050 Upper Marlboro MD 20774-5338 Ph: (301) 494-3000 | Shady Grove Children's Gad, Llc 15001 Shady Grove Rd Ste 110 Rockville MD 20850-6354 Ph: (301) 494-3000 |
| NPI Number | 1104516194 |
|---|---|
| Provider Enumeration Date | 05/11/2023 |
| Last Update Date | 04/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104516194 | NPI | - | NPPES |
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