Organization
JEAN-DANIEL BRUTUS D.D.S., LLC
Active
Parent organization
KEMMERTON FAMILY DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
KEMMERTON FAMILY DENTISTRY
Authorized official
DR. JEAN-DANIEL BRUTUS DDS (OWNER/DENTIST)
(301) 262-1112
Entity
Organization
Contact information
Practice address
6000 LAUREL BOWIE RD, SUITE 101, BOWIE, MD 20715-4000
(301) 262-1112
(301) 262-2237
Mailing address
6000 LAUREL BOWIE RD, SUITE 101, BOWIE, MD 20715-4000
(301) 262-1112
(301) 262-2237
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13673
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4108761
—
MD
Enumeration date
07/25/2011
Last updated
07/25/2011
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