Individual
DR. MICHAEL URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 LAKEFOREST BLVD STE 101B, GAITHERSBURG, MD 20877-2626
(301) 869-1170
(301) 869-0569
Mailing address
101 LAKEFOREST BLVD STE 101B, GAITHERSBURG, MD 20877-2626
(301) 869-1170
(301) 869-0569
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10472
MD
1223G0001X
General Practice Dentistry
7185
NV
Other
Enumeration date
01/02/2007
Last updated
07/31/2019
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