Yelena Obholz Dds Iv Llc | |
6000 Executive Blvd Ste 100 North Bethesda MD 20852-3817 | |
(240) 482-8244 | |
(202) 244-9609 |
Full Name | Yelena Obholz Dds Iv Llc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 6000 Executive Blvd Ste 100, North Bethesda, Maryland |
Authorized Official Name and Position | Yelena Obholz (MANAGING MEMBER) |
Authorized Official Contact | 3013182302 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Yelena Obholz Dds Iv Llc 6000 Executive Blvd Ste 100 North Bethesda MD 20852-3817 Ph: (240) 482-8244 | Yelena Obholz Dds Iv Llc 6000 Executive Blvd Ste 100 North Bethesda MD 20852-3817 Ph: (240) 482-8244 |
NPI Number | 1265128987 |
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Provider Enumeration Date | 04/14/2023 |
Last Update Date | 04/14/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265128987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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