Organization
CHEVY CHASE IMPLANT & ORAL SURGERY. L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE PARK D.D.S. (PRESIDENT)
(301) 525-9398
Entity
Organization
Contact information
Practice address
5550 FRIENDSHIP BLVD STE 250, CHEVY CHASE, MD 20815-7296
(301) 652-8555
(301) 215-7578
Mailing address
5550 FRIENDSHIP BLVD STE 250, CHEVY CHASE, MD 20815-7296
(301) 652-8555
(301) 215-7578
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
16129
MD
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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