Maryland Periodontics

NPI #1740722339 in Clinton, Maryland

Provider Information

NPI Number
1740722339
Entity Type
Organization
Organization Name
Maryland Periodontics
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Nov 14, 2016
Last Updated
Nov 14, 2016

Practice Location

Address
7902 OLD BRANCH AVE
Address 2
SUITE 209
ZIP Code
20735-1646
Phone
(301) 856-1200

Authorized Official

Name
KAREN MICHELLE LOAR
Title
OFFICE COORDINATOR
Phone
(301) 856-1200

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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