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Organization
GREGG SATORU TAIRA, DDS, PA
Active
Organization
GREGG SATORU TAIRA, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG SATORU TAIRA D.D.S. (PRESIDENT)
(301) 963-9690
Entity
Organization
Contact information
Practice address
2 PROFESSIONAL DR, SUITE 245, GAITHERSBURG, MD 20879-3408
(301) 963-9690
(301) 963-1631
Mailing address
2 PROFESSIONAL DR, SUITE 245, GAITHERSBURG, MD 20879-3408
(301) 963-9690
(301) 963-1631
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9304
MD
Other
Enumeration date
06/05/2007
Last updated
11/13/2012
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