Organization
BOSTON DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE YOU (PRESIDENT)
(301) 770-7710
Entity
Organization
Contact information
Practice address
4701 RANDOLPH RD STE 115, ROCKVILLE, MD 20852-2260
(301) 770-7710
Mailing address
4701 RANDOLPH RD STE 115, ROCKVILLE, MD 20852-2260
(301) 770-7710
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13904
MD
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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