Organization
KENTLANDS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA CHICO CORNEJO (OWNER)
(301) 947-5300
Entity
Organization
Contact information
Practice address
11908 DARNESTOWN ROAD, E, GAITHERSBURG, MD 20878
(301) 347-5300
(301) 647-3720
Mailing address
11908 DARNESTOWN ROAD, E, NORTH POTOMAC, MD 20878
(301) 347-5300
(301) 647-3720
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11898
MD
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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