Organization
GD MD RDA LLC
Active
Other names
Rockville Dental Arts
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
1403 RESEARCH BLVD STE A5, ROCKVILLE, MD 20850-3876
(301) 424-2030
Mailing address
1403 RESEARCH BLVD STE A5, ROCKVILLE, MD 20850-3876
(301) 424-2030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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