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Organization

STELLAR DENTAL OF HYATTSVILLE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALLEN GOTORA (CEO)
(301) 853-1567
Entity
Organization

Contact information

Practice address
5505 SARGENT RD STE A, HYATTSVILLE, MD 20782-2320
(301) 853-1567
Mailing address
5105 GRIFFENDALE LN, UPPER MARLBORO, MD 20772-3180
(202) 203-0230

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14124
MD

Other

Enumeration date
11/21/2014
Last updated
05/03/2022
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