Organization
STELLAR DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN GOTORA DDS (CEO)
(202) 203-0230
Entity
Organization
Contact information
Practice address
11239 LOCKWOOD DR, SILVER SPRING, MD 20901-4554
(301) 753-1900
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199657
—
MD
Enumeration date
11/13/2014
Last updated
10/17/2023
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