Supertooth INC
NPI #1588207914 in Gaithersburg, Maryland
Provider Information
- NPI Number
- 1588207914
- Entity Type
- Organization
- Organization Name
- Supertooth INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 17, 2019
- Last Updated
- Oct 17, 2019
Practice Location
- Address
- 237 KENTLANDS BLVD
- City
- Gaithersburg
- State
- Maryland
- ZIP Code
- 20878-5446
- Phone
- (301) 987-5200
Authorized Official
- Name
- BEN MANESH, DDS
- Title
- DENTIST
- Phone
- (301) 987-5200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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