Shady Grove Dental Center, Llc | |
14955 Shady Grove Rd Suite 360 Rockville MD 20850-8700 | |
(301) 610-7724 | |
(301) 610-7735 |
Full Name | Shady Grove Dental Center, Llc |
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Speciality | Dentist |
Location | 14955 Shady Grove Rd, Rockville, Maryland |
Authorized Official Name and Position | Emine Erkmen (OWNER) |
Authorized Official Contact | 3016107724 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shady Grove Dental Center, Llc 14955 Shady Grove Rd Suite 360 Rockville MD 20850-8700 Ph: (301) 610-7724 | Shady Grove Dental Center, Llc 14955 Shady Grove Rd Suite 360 Rockville MD 20850-8700 Ph: (301) 610-7724 |
NPI Number | 1780894956 |
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Provider Enumeration Date | 05/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780894956 | NPI | - | NPPES |
1649330473 | Other | MD | INDIVIDUAL NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 12735 (Maryland) | Primary |
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