Individual
DR. NICOLAS ANDREW JORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3290 N. RIDGE RD STE#180, ELLICOTT CITY, MD 21043
(410) 480-9111
Mailing address
3290 N. RIDGE RD STE#180, ELLICOTT CITY, MD 21043
(410) 480-9111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16798
MD
Other
Enumeration date
05/16/2019
Last updated
09/13/2023
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