Organization
PGN DENTAL LLC
Active
Other names
Elegant Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN BEREZOSKI (RECEPTION/FINANCIAL)
(301) 627-6687
Entity
Organization
Contact information
Practice address
14420 OLD MILL RD STE 101, UPPER MARLBORO, MD 20772-3096
(301) 627-6686
Mailing address
14420 OLD MILL RD STE 101, UPPER MARLBORO, MD 20772-3096
(301) 627-6686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
14871
MD
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2016
Last updated
08/19/2021
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