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Organization

AKJ DENTAL, DDS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON BERTOLLINI (PRS)
(866) 273-8204
Entity
Organization

Contact information

Practice address
12317 WINCHESTER RD SW, STE 100, LAVALE, MD 21502-6547
(240) 803-3487
(301) 729-2397
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(866) 273-8204
(315) 410-5531

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
04/27/2016
Last updated
04/27/2016
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