# YELENA OBHOLZ DDS IV LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aesthetic & Family Dentistry Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265128987
- **Authorized official:** YELENA OBHOLZ DDS (MANAGING MEMBER)
- **Authorized official phone:** (301) 318-2302

## Contact information

- **Practice address:** 6000 EXECUTIVE BLVD STE 100, NORTH BETHESDA, MD 20852-3817
- **Practice address phone:** (240) 482-8244
- **Practice address fax:** (202) 244-9609
- **Mailing address:** 6000 EXECUTIVE BLVD STE 100, NORTH BETHESDA, MD 20852-3817
- **Mailing address phone:** (240) 482-8244
- **Mailing address fax:** (202) 244-9609

## Taxonomy

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

## Other

- **Enumeration date:** 04/14/2023
- **Last updated:** 04/14/2023