Organization
MATTHEW PENDERGRASS DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW PHILIP PENDERGRASS DDS (PRESIDENT)
(301) 972-3444
Entity
Organization
Contact information
Practice address
22710 RIDGE ROAD, GERMANTOWN, MD 20876
(301) 972-3444
(301) 972-4948
Mailing address
22710 RIDGE ROAD, GERMANTOWN, MD 20876
(301) 972-3444
(301) 972-4948
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8008
MD
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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