Organization
MONTGOMERY ORAL & FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD A MERLO D.M.D. (OWNER)
(301) 468-0020
Entity
Organization
Contact information
Practice address
4701 RANDOLPH RD, SUITE G10, ROCKVILLE, MD 20852-2257
(301) 468-0020
Mailing address
4701 RANDOLPH RD, SUITE G10, ROCKVILLE, MD 20852-2257
(301) 468-0020
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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