Organization
GAMBRILLS ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HICHAM MEKOUAR DDS (PRESIDENT)
(703) 347-1282
Entity
Organization
Contact information
Practice address
331 GAMBRILLS RD STE 7, GAMBRILLS, MD 21054-1141
(410) 923-4700
(410) 923-7600
Mailing address
331 GAMBRILLS RD STE 7, GAMBRILLS, MD 21054-1141
(410) 923-4700
(410) 923-7600
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13390
MD
Other
Enumeration date
04/28/2010
Last updated
07/31/2015
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