Organization
GERMANTOWN PEDIATRIC DENTAL & ORTHODONTIC CENTER, LLC
Active
Other names
Germantown Pediatric Dental & Orthodontic Center
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (INSURANCE PLANNING MANAGER)
(877) 875-7408
Entity
Organization
Contact information
Practice address
19847 CENTURY BLVD, SUITE 215, GERMANTOWN, MD 20874-7201
(301) 916-6800
Mailing address
19847 CENTURY BLVD, SUITE 215, GERMANTOWN, MD 20874-7201
(301) 916-6800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
13848
MD
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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