Organization
HILLGATE LLC
Active
Other names
Hillcrest Dental Gateway Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALPHONZO LOWELL DAVIDSON JR. D.D.S. (OWNER)
(202) 584-0710
Entity
Organization
Contact information
Practice address
4175 N HANSON CT, 300, BOWIE, MD 20716-3179
(301) 805-6150
Mailing address
4175 N HANSON COURT, SUITE 300, MITCHELLVILLE, MD 20716
(301) 805-6150
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
11379
MD
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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