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Organization
QUALITY DENTAL LLC
Active
Organization
QUALITY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP SIDNEY MARTIN DDS (PRESIDENT)
(301) 200-8484
Entity
Organization
Contact information
Practice address
15511 ANNAPOLIS RD STE 540, BOWIE, MD 20715-3014
(301) 744-8123
Mailing address
15511 ANNAPOLIS RD STE 540, BOWIE, MD 20715-3014
(301) 744-8123
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14280
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040333300
—
DC
Enumeration date
12/28/2017
Last updated
07/07/2020
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