Kentlands Family Dentistry
NPI #1255504148 in Gaithersburg, Maryland
Provider Information
- NPI Number
- 1255504148
- Entity Type
- Organization
- Organization Name
- Kentlands Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 11, 2008
- Last Updated
- Apr 11, 2008
Practice Location
- Address
- 11908 DARNESTOWN ROAD
- Address 2
- E
- City
- Gaithersburg
- State
- Maryland
- ZIP Code
- 20878
- Phone
- (301) 347-5300
Authorized Official
- Name
- DR. PAMELA CHICO CORNEJO
- Title
- OWNER
- Phone
- (301) 947-5300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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