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Organization
GREENWAY DENTAL GROUP
Active
Organization
GREENWAY DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE ALSOP (FINANCIAL MANAGER)
(301) 345-2880
Entity
Organization
Contact information
Practice address
7525 GREENWAY CENTER DR, 102, GREENBELT, MD 20770-3509
(301) 345-2880
(301) 345-6287
Mailing address
7525 GREENWAY CENTER DR, 102, GREENBELT, MD 20770-3509
(301) 345-2880
(301) 345-6287
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13883
MD
1223P0221X
Pediatric Dentistry
6317
MD
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
12653
MD
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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