Organization
THE ORAL SURGERY CENTER AT MITCHELLVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIARI-ANN GRIFFITH DDS (OWNER)
(301) 627-1105
Entity
Organization
Contact information
Practice address
12164 CENTRAL AVE STE 224, MITCHELLVILLE, MD 20721-1903
(301) 627-1105
(301) 627-1105
Mailing address
12164 CENTRAL AVE STE 224, MITCHELLVILLE, MD 20721-1903
(301) 627-1105
(301) 627-1105
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13106
MD
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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