Three Creek Dentistry | |
7236 Muncaster Mill Rd Derwood MD 20855-1215 | |
(703) 474-5695 | |
Not Available |
Full Name | Three Creek Dentistry |
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Speciality | Clinic/center - Dental |
Location | 7236 Muncaster Mill Rd, Derwood, Maryland |
Authorized Official Name and Position | Vinh Chi Trinh (OWNER) |
Authorized Official Contact | 7034745695 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Three Creek Dentistry 3409 Wilson Blvd Unit 803 Arlington VA 22201-2246 Ph: () - | Three Creek Dentistry 7236 Muncaster Mill Rd Derwood MD 20855-1215 Ph: (703) 474-5695 |
NPI Number | 1174043939 |
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Provider Enumeration Date | 06/22/2017 |
Last Update Date | 06/22/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174043939 | NPI | - | NPPES |
1861805202 | Other | VA | NPI |
1770995243 | Other | VA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 16219 (Maryland) | Primary |
261QD0000X | Clinic/center - Dental | 16285 (Maryland) | Secondary |