Organization
FAMILY COSMETIC & IMPLANT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVALEE M MATTRASINGH DDS (PRESIDENT)
(301) 937-8872
Entity
Organization
Contact information
Practice address
3222 POWDER MILL RD, ADELPHI, MD 20783-1037
(301) 937-8872
Mailing address
3222 POWDER MILL RD, ADELPHI, MD 20783-1037
(301) 937-8872
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MD11535
MD
1223P0700X
Prosthodontics
MD11549
MD
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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