| White Oak Dental Llc | |
|
11247 Lockwood Dr Ste A Silver Spring MD 20901-4561 | |
| (301) 681-6306 | |
| (301) 681-6101 |
| Full Name | White Oak Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11247 Lockwood Dr Ste A, Silver Spring, Maryland |
| Authorized Official Name and Position | Alonzo Theodore Thomas (REGISTERED AGENT) |
| Authorized Official Contact | 3016816306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Oak Dental Llc 11247 Lockwood Dr Ste A Silver Spring MD 20901-4561 Ph: (301) 681-6306 | White Oak Dental Llc 11247 Lockwood Dr Ste A Silver Spring MD 20901-4561 Ph: (301) 681-6306 |
| NPI Number | 1932316817 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932316817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10265 (Maryland) | Primary |
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