Organization
MAPLE LAWN DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM NGO (OFFICE MANAGER)
(301) 725-0990
Entity
Organization
Contact information
Practice address
7625 MAPLE LAWN BLVD STE 275, FULTON, MD 20759-2562
(301) 725-0990
Mailing address
7625 MAPLE LAWN BLVD STE 275, FULTON, MD 20759-2562
(301) 725-0990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12534
MD
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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