Organization
PRIME DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EGHTESSAD DDS (OWNER)
(703) 994-1603
Entity
Organization
Contact information
Practice address
7525 GREENWAY CENTER DR STE 107, GREENBELT, MD 20770-3525
(301) 441-9499
Mailing address
7525 GREENWAY CENTER DR STE 107, GREENBELT, MD 20770-3525
(301) 441-9499
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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