# SERVICIOS DENTALES HISPANOS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467699660
- **Authorized official:** MR. GUILLERMO QUINTANILLA (OFFICE MANAGER)
- **Authorized official phone:** (301) 588-2516

## Contact information

- **Practice address:** 8121 GEORGIA AVE STE 400, SILVER SPRING, MD 20910-4958
- **Practice address phone:** (301) 588-2516
- **Mailing address:** 8121 GEORGIA AVE STE 400, SILVER SPRING, MD 20910-4958
- **Mailing address phone:** (301) 588-2516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 10857 | MD | Yes |

## Other

- **Enumeration date:** 01/10/2009
- **Last updated:** 11/25/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 776024860 | — | MD |