Individual
THOMAS HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 CENTER DR, BUILDING 10; ROOM 5N-102, BETHESDA, MD 20892-0001
(302) 402-0262
(201) 480-2055
Mailing address
10 CENTER DR, BUILDING 10; ROOM 5N-102, BETHESDA, MD 20892-0001
(302) 402-0262
(201) 480-2055
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6440
NC
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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