Organization
BETHESDA PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARIS FAJARDO (MANAGER)
(301) 654-3011
Entity
Organization
Contact information
Practice address
4405 E WEST HWY, SUITE 102, BETHESDA, MD 20814-4522
(301) 654-3011
Mailing address
4405 E WEST HWY, SUITE 102, BETHESDA, MD 20814-4522
(301) 654-3011
(301) 986-1452
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8760
DC
Other
Enumeration date
08/17/2015
Last updated
12/03/2015
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