Organization
MONTGOMERY ORAL & FACIAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD A MERLO DMD (PROPRIETOR)
(301) 468-0020
Entity
Organization
Contact information
Practice address
4701 RANDOLPH RD, SUITE G-10, ROCKVILLE, MD 20852-2257
(301) 468-0020
(301) 468-2304
Mailing address
4701 RANDOLPH RD, SUITE G-10, ROCKVILLE, MD 20852-2257
(301) 468-0020
(301) 468-2304
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11822
MD
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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