Organization
PEDIATRIC DENTISTRY AT NORTH BETHESDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YUKA TANABE YAAGISHI DDS, MS (OWNER)
(240) 669-8647
Entity
Organization
Contact information
Practice address
6001 MONTROSE RD STE 100, ROCKVILLE, MD 20852-4872
(240) 669-8647
Mailing address
6001 MONTROSE RD STE 100, ROCKVILLE, MD 20852-4872
(240) 669-8647
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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