Organization
SUPERTOOTH INC
Active
Other names
Supertooth at Kentlands
Organization subpart
No
Provider details
NPI number
Authorized official
BEN MANESH DDS (DENTIST)
(301) 987-5200
Entity
Organization
Contact information
Practice address
237 KENTLANDS BLVD, GAITHERSBURG, MD 20878-5446
(301) 987-5200
Mailing address
237 KENTLANDS BLVD, GAITHERSBURG, MD 20878-5446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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