Organization
VIRTS PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TRESSLER VIRTS DDS (OWNER)
(301) 606-0672
Entity
Organization
Contact information
Practice address
77 THOMAS JOHNSON DR STE A, FREDERICK, MD 21702-4893
(301) 682-3887
Mailing address
1 VALLEY VIEW CT, MIDDLETOWN, MD 21769-8047
(301) 606-0672
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63870
—
MD
Enumeration date
11/07/2024
Last updated
11/07/2024
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