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Organization
BETHESDA TMJ FACIAL PAIN TREATMENT LLC
Active
Organization
BETHESDA TMJ FACIAL PAIN TREATMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH K ANDERSON (OFFICE MANAGER)
(301) 897-3350
Entity
Organization
Contact information
Practice address
10215 FERNWOOD RD, #601, BETHESDA, MD 20817
(301) 897-3350
Mailing address
10215 FERNWOOD ROAD, #601, BETHESDA, MD 20817
(301) 897-3350
(301) 897-5571
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4590
MD
1223P0700X
Prosthodontics
12705
MD
1223P0700X
Prosthodontics
7317
MD
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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