Organization
MARYLAND ORAL SURGERY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN A NATHAN DDS (PRESIDENT MARYLAND ORAL SURGERY ASS)
(301) 593-8077
Entity
Organization
Contact information
Practice address
11120 NEW HAMPSHIRE AVE, SUITE 501, SILVER SPRING, MD 20904
(301) 593-8077
(301) 593-9196
Mailing address
11120 NEW HAMPSHIRE AVE, SUITE 501, SILVER SPRING, MD 20904
(301) 593-8077
(301) 593-9196
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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