| Stellar Dental Hyattsville, Llc | |
|
5813 Eastern Ave Hyattsville MD 20782-2201 | |
| (301) 853-1567 | |
| Not Available |
| Full Name | Stellar Dental Hyattsville, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5813 Eastern Ave, Hyattsville, Maryland |
| Authorized Official Name and Position | Allen Gotora (DEO) |
| Authorized Official Contact | 3018531567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stellar Dental Hyattsville, Llc 5813 Eastern Ave Hyattsville MD 20782-2201 Ph: () - | Stellar Dental Hyattsville, Llc 5813 Eastern Ave Hyattsville MD 20782-2201 Ph: (301) 853-1567 |
| NPI Number | 1730435348 |
|---|---|
| Provider Enumeration Date | 08/01/2012 |
| Last Update Date | 08/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730435348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14124 (Maryland) | Primary |
| 1223G0001X | Dentist - General Practice | 14892 (Maryland) | Secondary |
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