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Organization

ADVANCED COSMETIC AND GENERAL DENTISTRY GROUP, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA HARDTER (COO)
(617) 699-5557
Entity
Organization

Contact information

Practice address
1145 19TH ST NW STE 602, WASHINGTON, DC 20036-3714
(202) 833-3377
Mailing address
18119 CASHELL RD, OLNEY, MD 20832-2003
(301) 774-2000

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/14/2022
Last updated
03/14/2022
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