Maple Lawn Dental Care, LLC

NPI #1598053696 in Fulton, Maryland

Provider Information

NPI Number: 1598053696
Entity Type: Organization
Organization Name: Maple Lawn Dental Care, LLC
Primary Specialty: Dentist
Enumeration Date: Jul 11, 2011
Last Updated: Jul 11, 2011

Practice Location

Address: 7625 MAPLE LAWN BLVD STE 275
City: Fulton
State: Maryland
ZIP Code: 20759-2562
Phone: (301) 725-0990

Authorized Official

Name: MR. TOM NGO
Title: OFFICE MANAGER
Phone: (301) 725-0990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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