Organization
BURTONSVILLE DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ADAMS (DENTIST)
(301) 421-1996
Entity
Organization
Contact information
Practice address
3905 NATIONAL DR, #260, BURTONSVILLE, MD 20866-1100
(301) 421-1996
Mailing address
3905 NATIONAL DR, #260, BURTONSVILLE, MD 20866-1100
(301) 421-1996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12906
MD
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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