Organization
CLARKSBURG DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMUND Y LIU D.D.S. (DENTIST)
(301) 515-5525
Entity
Organization
Contact information
Practice address
23212 BREWERS TAVERN WAY, CLARKSBURG, MD 20871-4391
(301) 515-5525
(301) 515-9339
Mailing address
23212 BREWERS TAVERN WAY, CLARKSBURG, MD 20871-4391
(301) 515-5525
(301) 515-9339
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
13060
MD
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
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