Organization
PRESTIGE PERIODONTICS ROCKVILLE LLC
Active
Parent organization
PRESTIGE PERIODONTICS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESTIGE PERIODONTICS LLC
Authorized official
DR. DUANE BENNETT II DDS, MSD (MEMBER)
(301) 681-4812
Entity
Organization
Contact information
Practice address
1801 ROCKVILLE PIKE STE 101, ROCKVILLE, MD 20852-1633
(301) 681-4812
Mailing address
1801 ROCKVILLE PIKE STE 101, ROCKVILLE, MD 20852-1633
(301) 681-4812
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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