Organization
MARYLAND DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHOBA A DANEY DMD (DENTIST)
(301) 869-7733
Entity
Organization
Contact information
Practice address
15204 OMEGA DR, SUITE 140, ROCKVILLE, MD 20850-4601
(301) 869-7733
Mailing address
15204 OMEGA DR, SUITE 140, ROCKVILLE, MD 20850-4601
(301) 869-7733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12369
MD
Other
Enumeration date
05/10/2006
Last updated
08/22/2020
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