| Wisteria Dental Care | |
|
19729 Executive Park Cir Germantown MD 20874-2642 | |
| (301) 515-0030 | |
| (301) 515-0031 |
| Full Name | Wisteria Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 19729 Executive Park Cir, Germantown, Maryland |
| Authorized Official Name and Position | Hema K Patel (DENTIST/OWNER) |
| Authorized Official Contact | 3015150030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisteria Dental Care 19729 Executive Park Cir Germantown MD 20874-2642 Ph: (301) 515-0030 | Wisteria Dental Care 19729 Executive Park Cir Germantown MD 20874-2642 Ph: (301) 515-0030 |
| NPI Number | 1235510819 |
|---|---|
| Provider Enumeration Date | 06/09/2015 |
| Last Update Date | 06/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235510819 | NPI | - | NPPES |
| 078970400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 15169 (Maryland) | Primary |
Germantown Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12900 Middlebrook Rd Fl 2, Germantown, MD 20874 Phone: 240-777-3290 | |
Germantown Dental Care, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22710 Ridge Rd, Germantown, MD 20876 Phone: 301-972-3444 | |
Thabet Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20680 Seneca Meadows Pkwy Ste 207, Germantown, MD 20876 Phone: 301-349-1789 | |
Richard M. Williams, Llc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19531 Doctors Dr, Germantown, MD 20874 Phone: 301-540-8844 | |
Md Oms Sds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19717 Executive Park Cir, Germantown, MD 20874 Phone: 301-916-0486 | |
Ys Chae, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19536 Doctors Dr, Germantown, MD 20874 Phone: 240-690-2112 Fax: 240-690-2113 | |
Montgomery County Maryland Government Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20301 Brandermill Dr, Germantown, MD 20876 Phone: 240-740-0600 Fax: 301-353-0872 |