Organization
DENTAL & PROSTHODONTICS REHAB INC.
Active
Other names
Waldorf Cosmetic & Implant Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RADI MASRI D.D.S., M.S., PH.D. (PRESIDENT)
(301) 638-1420
Entity
Organization
Contact information
Practice address
3460 OLD WASHINGTON RD, SUITE 102, WALDORF, MD 20602-3240
(301) 638-1420
(301) 638-1493
Mailing address
3460 OLD WASHINGTON RD, SUITE 102, WALDORF, MD 20602-3240
(301) 638-1420
(301) 638-1493
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
13015
MD
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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