Organization
PERIO1 LLC
Active
Other names
Perio1 LLC, Gerard Boquel DDS
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD BOQUEL DDS (OWNER)
(301) 869-8884
Entity
Organization
Contact information
Practice address
903 RUSSELL AVE STE 300, GAITHERSBURG, MD 20879-3282
(301) 869-8884
(301) 869-8870
Mailing address
903 RUSSELL AVE STE 300, GAITHERSBURG, MD 20879-3282
(301) 869-8884
(301) 869-8870
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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