Organization
BEHRENS & KISHTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN ROBERT KISHTER MD DDS (PRESIDENT)
(301) 984-9111
Entity
Organization
Contact information
Practice address
11404 OLD GEORGETOWN ROAD, SUITE 104, ROCKVILLE, MD 20852
(301) 984-9111
(301) 984-0374
Mailing address
11404 OLD GEORGETOWN ROAD, SUITE 104, ROCKVILLE, MD 20852
(301) 984-9111
(301) 984-0374
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
8776
MD
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
D0041703
MD
Other
Enumeration date
11/16/2006
Last updated
08/22/2020
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