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Organization

DUANE BENNETT DDS MSD LLC

Active
Parent organization
PRESTIGE PERIODONTICS LLC
Other names
Prestige Periodontics Silver Spring
Organization subpart
Yes

Provider details

NPI number
Legal business name
PRESTIGE PERIODONTICS LLC
Authorized official
DR. DUANE BENNETT II DDS, MSD (MEMBER)
(301) 681-4812
Entity
Organization

Contact information

Practice address
10801 LOCKWOOD DR STE 240, SILVER SPRING, MD 20901-1563
(301) 681-4812
Mailing address
10801 LOCKWOOD DR STE 240, SILVER SPRING, MD 20901-1563
(301) 681-4812

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary

Other

Enumeration date
01/28/2022
Last updated
01/28/2022
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