Individual
PAGE COLLYMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
849 QUINCE ORCHARD BLVD, GAITHERSBURG, MD 20878-1678
(301) 527-2725
Mailing address
6322 DEMOCRACY BLVD, BETHESDA, MD 20817-1664
(301) 897-5880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-029809
IL
Other
Enumeration date
06/16/2014
Last updated
05/18/2022
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