| Village Orthodontics | |
|
18638 Crestwood Drive Lower Level Hagerstown MD 21742 | |
| (301) 393-2680 | |
| (301) 393-2682 |
| Full Name | Village Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 18638 Crestwood Drive, Hagerstown, Maryland |
| Authorized Official Name and Position | Gordon S Groisser (OWNER/PRESIDENT) |
| Authorized Official Contact | 3013932680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Orthodontics 18638 Crestwood Drive Lower Level Hagerstown MD 21742 Ph: (301) 393-2680 | Village Orthodontics 18638 Crestwood Drive Lower Level Hagerstown MD 21742 Ph: (301) 393-2680 |
| NPI Number | 1790055804 |
|---|---|
| Provider Enumeration Date | 01/05/2012 |
| Last Update Date | 01/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790055804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 13507 (Maryland) | Primary |
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