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Organization
MARYLAND ORAL SURGERY ASSOCIATES, LLC
Active
Organization
MARYLAND ORAL SURGERY ASSOCIATES, LLC
Active
Other names
Maryland Oral Surgery Associates of Laurel, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN A NATHAN D.D.S. (PRESIDENT OF MARYLAND ORAL SURGERY)
(301) 340-6884
Entity
Organization
Contact information
Practice address
14333 LAUREL BOWIE ROAD, SUITE 205, LAUREL, MD 20708
(301) 953-1888
(301) 953-1891
Mailing address
14955 SHADY GROVE ROAD, SUITE 350, ROCKVILLE, MD 20850-8700
(301) 340-6884
(301) 340-3836
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
MD
Other
Enumeration date
08/31/2006
Last updated
08/09/2023
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