Mid-Maryland Oral and Maxillofacial Surgery PA

NPI #1710950399 in Frederick, Maryland

Provider Information

NPI Number
1710950399
Entity Type
Organization
Organization Name
Mid-Maryland Oral and Maxillofacial Surgery PA
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Feb 13, 2006
Last Updated
Jul 21, 2010

Practice Location

Address
68 THOMAS JOHNSON DR
Address 2
SUITE A
ZIP Code
21702
Phone
(301) 694-2300

Authorized Official

Name
PETER M TAN, DDS MSHS
Title
PRESIDENT
Phone
(301) 694-2300

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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