Organization
TJ ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL THOMOPULOS DDS (OWNER/ DENTIST)
(301) 620-9666
Entity
Organization
Contact information
Practice address
198 THOMAS JOHNSON DR STE 103, FREDERICK, MD 21702-4432
(301) 620-9666
(301) 620-9739
Mailing address
198 THOMAS JOHNSON DR STE 103, FREDERICK, MD 21702-4432
(301) 620-9666
(301) 620-9739
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
MD
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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