Organization
CLARKSBURG DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUNG H LIN DDS (MEMBER)
(301) 515-5525
Entity
Organization
Contact information
Practice address
23212 BREWERS TAVERN WAY, CLARKSBURG, MD 20871-4391
(301) 515-5525
Mailing address
23212 BREWERS TAVERN WAY, CLARKSBURG, MD 20871-4391
(301) 515-5525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12988
MD
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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