Organization
REVIVE, DDS, LLC
Active
Other names
Vive Dental Day Spa
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE REED (CONSULTANT)
(443) 285-3385
Entity
Organization
Contact information
Practice address
4601 N PARK AVE # C7, CHEVY CHASE, MD 20815-4519
(301) 664-9596
Mailing address
4601 N PARK AVE # C7, CHEVY CHASE, MD 20815-4519
(301) 664-9596
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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