Organization
KOYOMJI DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD KOYOMJI (PRESIDENT)
(301) 654-1111
Entity
Organization
Contact information
Practice address
8218 WISCONSIN AVE, SUITE 200, BETHESDA, MD 20814-3107
(301) 654-1111
(301) 654-2227
Mailing address
8218 WISCONSIN AVE, SUITE 200, BETHESDA, MD 20814-3107
(301) 654-1111
(301) 654-2227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12381
MD
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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