Organization
MARYLAND ORAL SURGERY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN A NATHAN D.D.S. (PRESIDENT)
(301) 340-6884
Entity
Organization
Contact information
Practice address
10401 OLD GEORGETOWN ROAD, SUITE 206, BETHESDA, MD 20814-1911
(301) 984-9111
(301) 984-0374
Mailing address
14955 SHADY GROVE ROAD, SUITE 350, ROCKVILLE, MD 20850-8700
(301) 340-6884
(301) 340-3836
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9161
MD
Other
Enumeration date
01/26/2011
Last updated
08/09/2023
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