Organization
MARANATHA WEIR GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YVETTE T.M WEIR-GLADSTONE DDS (OWNER)
(301) 927-1453
Entity
Organization
Contact information
Practice address
5711 SARVIS AVE STE 502, RIVERDALE, MD 20737-1366
(301) 927-1453
Mailing address
5711 SARVIS AVE STE 502, RIVERDALE, MD 20737-1366
(301) 927-1453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11178
MD
Other
Enumeration date
02/24/2011
Last updated
03/21/2013
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