Organization
JERALD B HAWK DDS PA
Active
Other names
Maryland Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERALD BRIAN HAWK DDS (PRESIDENT)
(301) 230-2600
Entity
Organization
Contact information
Practice address
1750 ROCKVILLE PIKE STE 22, ROCKVILLE, MD 20852-1658
(301) 230-2600
(301) 231-6592
Mailing address
1750 ROCKVILLE PIKE STE 22, ROCKVILLE, MD 20852-1658
(301) 230-2600
(301) 231-6592
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12910
MD
Other
Enumeration date
03/22/2007
Last updated
11/19/2020
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