Organization
POTOMACDENTALCENTER
Active
Other names
No
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENIR G BERNARDES DDS (OWNER)
(301) 881-5020
Entity
Organization
Contact information
Practice address
11404 OLD GEORGETOWN RD, 201, NORTH BETHESDA, MD 20852-2865
(301) 881-5020
(301) 881-5030
Mailing address
11404 OLD GEORGETOWN RD, 201, NORTH BETHESDA, MD 20852-2865
(301) 881-5020
(301) 881-5030
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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