Organization
SKP FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULOS F DALU (DENTIST)
(240) 553-7772
Entity
Organization
Contact information
Practice address
7525 GREENWAY CENTER DR STE 310, GREENBELT, MD 20770-3525
(240) 553-7772
(240) 553-7782
Mailing address
7525 GREENWAY CENTER DR STE 310, GREENBELT, MD 20770-3525
(240) 553-7772
(240) 553-7782
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
15553
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982038139
DENTAL
MD
Enumeration date
09/02/2014
Last updated
09/02/2014
Update your record
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