Individual
KEROLOS MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12520 PROSPERITY DR STE 340, SILVER SPRING, MD 20904-1606
(301) 388-2420
Mailing address
12520 PROSPERITY DR STE 340, SILVER SPRING, MD 20904-1606
(301) 388-2420
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS040257
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16379
MD
Other
Enumeration date
02/02/2015
Last updated
05/07/2018
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