Organization
TAJICKS DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PAULA CAMILA CORTEZ I (OFFICE MANAGER)
(301) 434-3300
Entity
Organization
Contact information
Practice address
1425 UNIVERSITY BLVD E, 253, HYATTSVILLE, MD 20783-4618
(301) 434-3300
Mailing address
1425 UNIVERSITY BLVD E, 253, HYATTSVILLE, MD 20783-4618
(301) 434-3300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MD
Other
Enumeration date
03/16/2015
Last updated
07/21/2022
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