Organization
INTEGRATIVE ORAL & FACIAL SURGERY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY S NOKKEO D.M.D. (PRESIDENT)
(301) 926-4800
Entity
Organization
Contact information
Practice address
1 BANK ST, SUITE 240, GAITHERSBURG, MD 20878-1504
(301) 926-4800
(301) 926-4899
Mailing address
1 BANK ST, SUITE 240, GAITHERSBURG, MD 20878-1504
(301) 926-4800
(301) 926-4899
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13271
MD
Other
Enumeration date
03/24/2010
Last updated
02/25/2015
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