Organization
GORDON FORMICA & LOVE DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCIS A FORMICA JR. DDS (TRES)
(301) 262-3535
Entity
Organization
Contact information
Practice address
3233 SUPERIOR LANE, B-25, BOWIE, MD 20715
(301) 262-3535
(301) 464-3478
Mailing address
3233 SUPERIOR LANE, B-25, BOWIE, MD 20715
(301) 262-3535
(301) 464-3478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
03909
MD
122300000X
Dentist
04017
MD
122300000X
Dentist
04497
MD
122300000X
Dentist
12848
MD
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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