# THE ORAL SURGERY CENTER AT MITCHELLVILLE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013345511
- **Authorized official:** DR. MIARI-ANN GRIFFITH DDS (OWNER)
- **Authorized official phone:** (301) 627-1105

## Contact information

- **Practice address:** 12164 CENTRAL AVE STE 224, MITCHELLVILLE, MD 20721-1903
- **Practice address phone:** (301) 627-1105
- **Practice address fax:** (301) 627-1105
- **Mailing address:** 12164 CENTRAL AVE STE 224, MITCHELLVILLE, MD 20721-1903
- **Mailing address phone:** (301) 627-1105
- **Mailing address fax:** (301) 627-1105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 13106 | MD | Yes |

## Other

- **Enumeration date:** 10/17/2013
- **Last updated:** 10/17/2013