Maryland Dental Specialty Group

NPI #1003167727 in Silver Spring, Maryland

Provider Information

NPI Number: 1003167727
Entity Type: Organization
Organization Name: Maryland Dental Specialty Group
Primary Specialty: Dentist
Enumeration Date: Sep 20, 2012
Last Updated: Sep 20, 2012

Practice Location

Address: 13975 CONNECTICUT AVE
Address 2: SUITE # 208
City: Silver Spring
State: Maryland
ZIP Code: 20906-2921
Phone: (301) 598-3951

Authorized Official

Name: DR. SOORITA DVI GOORAH, DDS
Title: DENTIST
Phone: (301) 598-3951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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