Organization
GREATER MARYLAND ORAL SURGERY CENTER LLC
Active
Other names
Dental Care Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
985 RUSSELL AVE, GAITHERSBURG, MD 20879-6211
(301) 926-2928
Mailing address
985 RUSSELL AVE, GAITHERSBURG, MD 20879-6211
(301) 926-2928
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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