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Organization
HILLGATE LLC
Active
Organization
HILLGATE LLC
Active
Other names
Hillcrest Dental Gateway Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALPHONZO LOWELL DAVIDSON JR. D.D.S. (OWNER)
(202) 584-0710
Entity
Organization
Contact information
Practice address
4175 N HANSON CT, 300, BOWIE, MD 20716-3179
(301) 805-6150
Mailing address
4175 N HANSON COURT, SUITE 300, MITCHELLVILLE, MD 20716
(301) 805-6150
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
11379
MD
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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