# KALAMBAYI T KABASELA DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Metropolitan Dental Specialty Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689389314
- **Authorized official:** KALAMBAYI T KABASELA D.D.S. (OWNER)
- **Authorized official phone:** (301) 585-0405

## Contact information

- **Practice address:** 8380 COLESVILLE ROAD, SUITE 750, SILVER SPRING, MD 20910
- **Practice address phone:** (301) 585-0405
- **Practice address fax:** (301) 585-0512
- **Mailing address:** 8380 COLESVILLE ROAD, SUITE 750, SILVER SPRING, MD 20910
- **Mailing address phone:** (301) 585-0405
- **Mailing address fax:** (301) 585-0512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2023
- **Last updated:** 01/17/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 811023900 | — | MD |