Organization
GOLDENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRIS CHAN (GENERAL DENTISIT)
(301) 774-4930
Entity
Organization
Contact information
Practice address
18121 GEORGIA AVENUE #108, OLNEY, MD 20832
(301) 774-4930
(301) 774-4937
Mailing address
18121 GEORGIA AVENUE #108, OLNEY, MD 20832
(301) 774-4930
(301) 774-4937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058460600
—
MD
Enumeration date
09/07/2021
Last updated
09/07/2021
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