Individual
PATRICIO HERDOIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
237 KENTLANDS BLVD, GAITHERSBURG, MD 20878-5446
(301) 987-5200
(301) 987-5511
Mailing address
237 KENTLANDS BLVD, GAITHERSBURG, MD 20878-5446
(301) 987-5200
(301) 987-5511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7741
MD
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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