Individual
DR. JUSTIN GERVAIS MILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15200 SHADY GROVE RD STE 450, ROCKVILLE, MD 20850-6204
(301) 330-3222
Mailing address
15200 SHADY GROVE RD STE 450, ROCKVILLE, MD 20850-6204
(301) 330-3222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
EXEMPT1
MD
1223P0221X
Pediatric Dentistry
Primary
17144
MD
Other
Enumeration date
06/05/2020
Last updated
03/13/2024
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