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7615 Ora Glen Drive Greenbelt MD 20770 | |
| (866) 877-7258 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7615 Ora Glen Drive, Greenbelt, Maryland |
| Authorized Official Name and Position | Alisa Brightley (LEAD CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2402976758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8665 Georgia Ave Silver Spring MD 20910-3405 Ph: (301) 340-7525 | 7615 Ora Glen Drive Greenbelt MD 20770 Ph: (866) 877-7258 |
| NPI Number | 1396551909 |
|---|---|
| Provider Enumeration Date | 12/09/2024 |
| Last Update Date | 12/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396551909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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