Organization
MADISON DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN LIU (OWNER)
(919) 423-2520
Entity
Organization
Contact information
Practice address
15020 SHADY GROVE ROAD, SUITE 360, ROCKVILLE, MD 20850
(301) 762-2236
Mailing address
15020 SHADY GROVE ROAD, SUITE 360, ROCKVILLE, MD 20850
(301) 762-2236
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15236
MD
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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