Individual
DR. DAVID A. DUTROW III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
16220 FREDERICK RD, GAITHERSBURG, MD 20877-4039
(301) 977-9100
(301) 977-8733
Mailing address
16220 FREDERICK RD, GAITHERSBURG, MD 20877-4039
(301) 977-9100
(301) 977-8733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6623
MD
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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