# MONTGOMERY ORAL & FACIAL SURGERY, LLC

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

## Provider details

- **NPI number:** 1649676503
- **Authorized official:** DR. LEONARD A MERLO DMD (PROPRIETOR)
- **Authorized official phone:** (301) 468-0020

## Contact information

- **Practice address:** 4701 RANDOLPH RD, SUITE G-10, ROCKVILLE, MD 20852-2257
- **Practice address phone:** (301) 468-0020
- **Practice address fax:** (301) 468-2304
- **Mailing address:** 4701 RANDOLPH RD, SUITE G-10, ROCKVILLE, MD 20852-2257
- **Mailing address phone:** (301) 468-0020
- **Mailing address fax:** (301) 468-2304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 11822 | MD | Yes |

## Other

- **Enumeration date:** 11/05/2014
- **Last updated:** 11/05/2014