Nic Jorge Dental, LLC
NPI #1821832569 in Ellicott City, Maryland
Provider Information
- NPI Number
- 1821832569
- Entity Type
- Organization
- Organization Name
- Nic Jorge Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 19, 2024
- Last Updated
- Jun 19, 2024
Practice Location
- Address
- 3290 N RIDGE RD STE 180
- City
- Ellicott City
- State
- Maryland
- ZIP Code
- 21043-3656
- Phone
- (410) 480-9111
Authorized Official
- Name
- DR. NICOLAS ANDREW JORGE, DMD
- Title
- DENTIST
- Phone
- (516) 457-8005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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