Organization
AMY LIGHT, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY TREESE LIGHT DMD (PRESIDENT)
(301) 983-9804
Entity
Organization
Contact information
Practice address
9812 FALLS RD, SUITE 118, POTOMAC, MD 20854-3976
(301) 983-9804
(301) 983-5571
Mailing address
9812 FALLS RD, SUITE 118, POTOMAC, MD 20854-3976
(301) 983-9804
(301) 983-5571
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
9152
MD
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9152
MD
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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