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Organization
SILVER SPRING IMPLANT & ORAL SURGERY CORPORATION
Active
Organization
SILVER SPRING IMPLANT & ORAL SURGERY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA WIETH (DIRECTOR OF PAYOR RELATIONS)
(623) 267-8121
Entity
Organization
Contact information
Practice address
1300 SPRING ST STE 140, SILVER SPRING, MD 20910-3616
(227) 229-0199
(227) 229-0199
Mailing address
1300 SPRING ST STE 140, SILVER SPRING, MD 20910-3616
(227) 229-0199
(227) 229-0199
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
09/04/2026
Last updated
09/04/2026
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