Organization
NORTHWEST DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP B SUROSKY D.D.S. (DENTIST)
(410) 486-5580
Entity
Organization
Contact information
Practice address
4821 BUTLER ROAD, SUITE 2B, GLYNDON, MD 21071
(410) 486-5580
(410) 484-6365
Mailing address
4821 BUTLER ROAD, SUITE 2B, GLYNDON, MD 21071
(410) 486-5580
(410) 484-6365
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7474
MD
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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