Ortho Suite LLC

NPI #1013596964 in Bethesda, Maryland

Provider Information

NPI Number
1013596964
Entity Type
Organization
Organization Name
Ortho Suite LLC
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Apr 7, 2021
Last Updated
Apr 7, 2021

Practice Location

Address
5642 SHIELDS DR
ZIP Code
20817-3573
Phone
(301) 363-9026

Authorized Official

Name
DR. DEREK BLANK, DDS
Title
PRESIDENT
Phone
(949) 302-5146

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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