The Oral Surgery Center At Mitchellville | |
12164 Central Ave Ste 224 Mitchellville MD 20721-1903 | |
(301) 627-1105 | |
(301) 627-1105 |
Full Name | The Oral Surgery Center At Mitchellville |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 12164 Central Ave Ste 224, Mitchellville, Maryland |
Authorized Official Name and Position | Miari-ann Griffith (OWNER) |
Authorized Official Contact | 3016271105 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Oral Surgery Center At Mitchellville 12164 Central Ave Ste 224 Mitchellville MD 20721-1903 Ph: (301) 627-1105 | The Oral Surgery Center At Mitchellville 12164 Central Ave Ste 224 Mitchellville MD 20721-1903 Ph: (301) 627-1105 |
NPI Number | 1013345511 |
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Provider Enumeration Date | 10/17/2013 |
Last Update Date | 10/17/2013 |
Identifier | Type | State | Issuer |
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1013345511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 13106 (Maryland) | Primary |
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