Maryland Dental Associates LLC

NPI #1285381590 in Gaithersburg, Maryland

Provider Information

NPI Number: 1285381590
Entity Type: Organization
Organization Name: Maryland Dental Associates LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MARYLAND DENTAL ASSOCIATES LLC
Primary Specialty: Dentist
Enumeration Date: Mar 7, 2022
Last Updated: Mar 7, 2022

Practice Location

Address: 8901 SHADY GROVE CT
City: Gaithersburg
State: Maryland
ZIP Code: 20877-1308
Phone: (019) 875-5273

Authorized Official

Name: R PATRICIA HOWER
Title: CREDENTIALING SPECIALIST
Phone: (215) 798-4027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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