Organization
NORTH POTOMAC DENTAL STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST PONRAJ (DENTIST)
(301) 963-6300
Entity
Organization
Contact information
Practice address
211 MARKET ST W, GAITHERSBURG, MD 20878-6428
(301) 963-6300
Mailing address
211 MARKET ST W, GAITHERSBURG, MD 20878-6428
(301) 963-6300
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
14719
MD
Other
Enumeration date
09/22/2017
Last updated
07/21/2022
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