Individual
DR. MATTHEW PHILIP PENDERGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22710 RIDGE RD, GERMANTOWN, MD 20876
(301) 972-3444
(301) 972-3444
Mailing address
22710 RIDGE RD, GERMANTOWN, MD 20876-4332
(301) 972-3444
(301) 972-3444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8008
MD
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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