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Individual

DR. SYLVAN STEWART MINTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
10401 OLD GEORGETOWN RD, #106, BETHESDA, MD 20814-1911
(301) 530-8570
(301) 530-8572
Mailing address
8618 TIMBER HILL LN, POTOMAC, MD 20854-4239
(301) 983-0579
(301) 605-7103

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4351
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
41813103
CAREFIRST BLUE CROSS
MD
01
491230
MEDICARE PROVIDER
MD
Enumeration date
12/04/2005
Last updated
08/30/2011
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