Individual
DR. GRACE JUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
18200 GEORGIA AVE, SUITE N, OLNEY, MD 20832-1466
(301) 260-2030
Mailing address
5511 APRIL JOURNEY, COLUMBIA, MD 21044-5592
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13557
MD
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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