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Organization

STOMACARE CORPORATION

Active
Other names
Clarksburg Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
SANJAR KHODJAEV DMD (OWNER)
(703) 505-9340
Entity
Organization

Contact information

Practice address
12051 CHESTNUT BRANCH WAY STE C3, CLARKSBURG, MD 20871-5328
(301) 355-4789
Mailing address
12051 CHESTNUT BRANCH WAY STE C3, CLARKSBURG, MD 20871-5328
(301) 355-4789

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
11/02/2022
Last updated
01/05/2023
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