Oral Pathology Services/maryland Oral Diagnosis and Therapeutics, LLC

NPI #1760654784 in Gaithersburg, Maryland

Provider Information

NPI Number: 1760654784
Entity Type: Organization
Organization Name: Oral Pathology Services/maryland Oral Diagnosis and Therapeutics, LLC
Primary Specialty: Dentist
Enumeration Date: Mar 31, 2008
Last Updated: Apr 3, 2023

Practice Location

Address: 610 PROFESSIONAL DR STE 215
City: Gaithersburg
State: Maryland
ZIP Code: 20879-3439
Phone: (301) 869-8666

Authorized Official

Name: DR. DI SUN, DDS PHD
Title: DIRECTOR
Phone: (301) 869-8666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - Oral and Maxillofacial Pathology — Oral and Maxillofacial Pathology	1223P0106X

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