Organization
GREGG SATORU TAIRA, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG SATORU TAIRA D.D.S. (PRESIDENT)
(301) 963-9690
Entity
Organization
Contact information
Practice address
2 PROFESSIONAL DR, SUITE 245, GAITHERSBURG, MD 20879-3408
(301) 963-9690
(301) 963-1631
Mailing address
2 PROFESSIONAL DR, SUITE 245, GAITHERSBURG, MD 20879-3408
(301) 963-9690
(301) 963-1631
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9304
MD
Other
Enumeration date
06/05/2007
Last updated
11/13/2012
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