Organization
STELLAR DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN GOTORA MD (OWNER/DOCTOR)
(202) 203-0230
Entity
Organization
Contact information
Practice address
11239 LOCKWOOD DR, SILVER SPRING, MD 20901-4554
(240) 232-8100
Mailing address
11239 LOCKWOOD DR, SILVER SPRING, MD 20901-4554
(240) 232-8100
(240) 842-1257
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14124
LICENSE
MD
05
—
199657
—
MD
Enumeration date
05/13/2019
Last updated
05/13/2019
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