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Organization
THE DENTAL GROUP OF FORT WASHINGTON
Active
Organization
THE DENTAL GROUP OF FORT WASHINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA C. JACKSON DDS (OWNER)
(301) 248-3810
Entity
Organization
Contact information
Practice address
6710 OXON HILL RD, SUITE #350, OXON HILL, MD 20745-1121
(301) 248-3810
(301) 449-6746
Mailing address
2203 PARKSIDE DR, MITCHELLVILLE, MD 20721-4228
(301) 390-2575
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9883
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN4466
DC
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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