Organization
IB DENTAL V
Active
Other names
IB Dental & Implant
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DAYSE DDS (PRESIDENT)
(301) 585-6804
Entity
Organization
Contact information
Practice address
1400 E WEST HWY STE G, SILVER SPRING, MD 20910-3230
(301) 585-6804
Mailing address
4300 MONTGOMERY AVE STE 206A, BETHESDA, MD 20814-4460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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