Organization
O W JOHN & ASSC
Active
Other names
Metro Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM LEATRICE COLLIER (OFFICE MANAGER)
(301) 870-3966
Entity
Organization
Contact information
Practice address
6620 CRAIN HWY, STE 204, LA PLATA, MO 20646
(301) 870-3966
(301) 753-1992
Mailing address
PO BOX 1002, 6620 CRAIN HWY STE 204, LA PLATA, MO 20646
(301) 870-3966
(301) 753-1992
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/14/2006
Last updated
10/15/2014
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