Individual
DR. JAY SAHARAT NOKKEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
507 N FREDERICK AVE, 2ND FLOOR, GAITHERSBURG, MD 20877-2506
(301) 926-4800
(301) 926-4899
Mailing address
507 N FREDERICK AVE, 2ND FLOOR, GAITHERSBURG, MD 20877-2506
(301) 926-4800
(301) 926-4899
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
13271
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN6006
DC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
13271
MD
Other
Enumeration date
09/08/2005
Last updated
09/23/2013
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