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Organization
ORAL AND MAXILLOFACIAL SURGERY SPECIALISTS PC
Active
Organization
ORAL AND MAXILLOFACIAL SURGERY SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE GRILLON DMD (PRESIDENT)
(301) 564-1400
Entity
Organization
Contact information
Practice address
10215 FERNWOOD RD, SUITE 510, BETHESDA, MD 20817-1106
(301) 564-1400
(301) 564-1413
Mailing address
10215 FERNWOOD RD, SUITE 510, BETHESDA, MD 20817-1106
(301) 564-1400
(301) 564-1413
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
02/02/2011
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