Northwest Dental INC

NPI #1194964015 in Glyndon, Maryland

Provider Information

NPI Number
1194964015
Entity Type
Organization
Organization Name
Northwest Dental INC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Feb 17, 2009
Last Updated
Feb 17, 2009

Practice Location

Address
4821 BUTLER ROAD
Address 2
SUITE 2B
ZIP Code
21071
Phone
(410) 486-5580

Authorized Official

Name
DR. PHILLIP B SUROSKY, D.D.S.
Title
DENTIST
Phone
(410) 486-5580

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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