| Suburban Dental Associates | |
|
106 South Frederick Avenue Gaithersburg MD 20877-2312 | |
| (301) 947-3131 | |
| (301) 947-0461 |
| Full Name | Suburban Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 106 South Frederick Avenue, Gaithersburg, Maryland |
| Authorized Official Name and Position | Imtiaz Noor (PRESIDENT) |
| Authorized Official Contact | 3019473131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban Dental Associates 106 South Frederick Avenue Gaithersburg MD 20877 Ph: (301) 947-3131 | Suburban Dental Associates 106 South Frederick Avenue Gaithersburg MD 20877-2312 Ph: (301) 947-3131 |
| NPI Number | 1699930412 |
|---|---|
| Provider Enumeration Date | 07/21/2008 |
| Last Update Date | 07/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699930412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11653 (Maryland) | Primary |
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