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Organization
MARYLAND ORAL SURGERY ASSOCIATES, LLC
Active
Organization
MARYLAND ORAL SURGERY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN A. NATHAN D.D.S (PRESIDENT)
(301) 340-6884
Entity
Organization
Contact information
Practice address
128 LUBRANO DRIVE, SUITE 300, ANNAPOLIS, MD 21401-7028
(410) 897-0111
(410) 897-0110
Mailing address
14955 SHADY GROVE ROAD, SUITE 350, ROCKVILLE, MD 20850-8700
(301) 340-6884
(301) 340-3836
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
MD
Other
Enumeration date
06/03/2014
Last updated
08/08/2023
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