Periodontics PA

NPI #1841489739 in Hagerstown, Maryland

Provider Information

NPI Number
1841489739
Entity Type
Organization
Organization Name
Periodontics PA
Primary Specialty
Dentist - Periodontics
Enumeration Date
Oct 17, 2007
Last Updated
Oct 17, 2007

Practice Location

Address
19816 LEITERSBURG PIKE
ZIP Code
21742-1444
Phone
(301) 797-7410

Authorized Official

Name
DR. JOHN ROBERT NITZELL, DDS
Title
PRESIDENT PERIODONTIST
Phone
(301) 797-7410

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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