| Supertooth Dental Group | |
|
6831 Wisconsin Ave P101 Chevy Chase MD 20815-6122 | |
| (301) 986-8777 | |
| (301) 986-8873 |
| Full Name | Supertooth Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 6831 Wisconsin Ave, Chevy Chase, Maryland |
| Authorized Official Name and Position | Ben Manesh (OWNER / OPERATOR) |
| Authorized Official Contact | 3019868777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supertooth Dental Group 6831 Wisconsin Ave P101 Chevy Chase MD 20815-6122 Ph: (301) 986-8777 | Supertooth Dental Group 6831 Wisconsin Ave P101 Chevy Chase MD 20815-6122 Ph: (301) 986-8777 |
| NPI Number | 1992138697 |
|---|---|
| Provider Enumeration Date | 08/16/2013 |
| Last Update Date | 08/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992138697 | NPI | - | NPPES |
| 039934100 | Medicaid | DC |
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