Family Orthodontics Of Maryland Llc

NPI 1790162998 - Dentist - 1223X0400X

NPI Details
NPI 1790162998
Enumeration Date 04/27/2015
Last Updated 04/27/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JEANNINE JEANNINE
Position CREDENTIALING MANAGER
Phone (770) 692-1000
Fax
Practice Location
9812 FALLS RD
POTOMAC MD, 20854-3976, US
Phone (770) 692-1000
Fax
Business Location
1350 SPRING ST NW
STE 600
ATLANTA GA, 30309-2864, US
Phone (770) 692-1000
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State Maryland
License Number 14922
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According to our database, Family Orthodontics Of Maryland Llc NPI is 1790162998, taxonomy code is 1223X0400X and license number is 14922, license state is located at Maryland. Family Orthodontics Of Maryland Llc physically located at 9812 Falls Rd, Potomac MD, 20854-3976. NPI Number 1033115704 has the healthcare provider type.

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1790162998 NPI number is provided on an as is basis without warranty of any kind. 1790162998 is maintained by the National Plan & Provider Enumeration System. The contents of Family Orthodontics Of Maryland Llc are for informational purposes only.