Organization
DMV SURGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEBER DE OLIVEIRA CSA (PRINCIPAL)
(301) 531-4554
Entity
Organization
Contact information
Practice address
14103 CORUNNA CT, LAUREL, MD 20707-6901
(301) 531-4554
Mailing address
14103 CORUNNA CT, LAUREL, MD 20707-6901
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA0117
DC
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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