Organization
IB DENTAL III
Active
Other names
iBrush Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SHEROD DAYSE D.D.S., M.B.A. (CEO AND PRESIDENT)
(202) 297-1500
Entity
Organization
Contact information
Practice address
2970 BELCREST CENTER DR, STE. 105, HYATTSVILLE, MD 20782-1987
(301) 567-5437
(301) 567-5456
Mailing address
2970 BELCREST CENTER DR, STE. 105, HYATTSVILLE, MD 20782-1912
(301) 567-5437
(301) 567-5456
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
15968
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14139
MD
126800000X
Dental Assistant
02372
MD
126800000X
Dental Assistant
18788
MD
Other
Enumeration date
10/18/2016
Last updated
10/25/2016
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