# GREATER MARYLAND ORAL SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Care Alliance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912676917
- **Authorized official:** VICTORIA JOHNSON (CRO)
- **Authorized official phone:** (941) 444-0558

## Contact information

- **Practice address:** 985 RUSSELL AVE, GAITHERSBURG, MD 20879-6211
- **Practice address phone:** (301) 926-2928
- **Mailing address:** 985 RUSSELL AVE, GAITHERSBURG, MD 20879-6211
- **Mailing address phone:** (301) 926-2928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2021
- **Last updated:** 07/21/2026