Life Bridge Dental LLC
NPI #1538805346 in North Bethesda, Maryland
Provider Information
- NPI Number
- 1538805346
- Entity Type
- Organization
- Organization Name
- Life Bridge Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 5, 2022
- Last Updated
- May 5, 2022
Practice Location
- Address
- 11564 OLD GEORGETOWN ROAD
- City
- North Bethesda
- State
- Maryland
- ZIP Code
- 20852
- Phone
- (212) 686-3686
Authorized Official
- Name
- MR. KENNETH NEILQ SULLIVAN
- Title
- DIRECTOR, RCM
- Phone
- (212) 686-3686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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