Individual
ERIC TETTEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18611 GLEN WILLOW WAY, GERMANTOWN, MD 20874-2103
(240) 779-7035
Mailing address
18611 GLEN WILLOW WAY, GERMANTOWN, MD 20874-2103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17991
MD
Other
Enumeration date
01/30/2023
Last updated
06/01/2023
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