Organization
HA DOAN THI UNG, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HA DOAN THI UNG DDS (DENTIST/OWNER)
(301) 330-6234
Entity
Organization
Contact information
Practice address
28B S FREDERICK AVE, #101, GAITHERSBURG, MD 20877-2302
(301) 330-6234
Mailing address
28B S FREDERICK AVE, #101, GAITHERSBURG, MD 20877-2302
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
13213
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9177238
—
MD
Enumeration date
04/17/2011
Last updated
04/17/2011
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