Individual
DR. GARRETT WILLIAM TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6100 DAYLONG LN STE 204, CLARKSVILLE, MD 21029-1655
(667) 200-5912
Mailing address
44 CAMBRA RD, WALDWICK, NJ 07463-1132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18023
MD
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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