Southern Maryland Oral & Maxillofacial Surgery

NPI 1174559298 - Dentist - 1223S0112X

NPI Details
NPI 1174559298
Enumeration Date 06/23/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOHN J JOHN
Position PRESIDENT
Phone (301) 645-6911
Fax (301) 843-0083
Practice Location
3450 OLD WASHINGTON RD
SUITE 201
WALDORF MD, 20602-3248, US
Phone (301) 645-6911
Fax (301) 843-0083
Business Location
3450 OLD WASHINGTON RD
SUITE 201
WALDORF MD, 20602-3248, US
Phone (301) 645-6911
Fax (301) 843-0083
Toxanomy
Taxonomy Code 1223S0112X
License State Maryland
License Number 5594
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According to our database, Southern Maryland Oral & Maxillofacial Surgery NPI is 1174559298, taxonomy code is 1223S0112X and license number is 5594, license state is located at Maryland. Southern Maryland Oral & Maxillofacial Surgery physically located at 3450 Old Washington Rd, Waldorf MD, 20602-3248. NPI Number 1033115704 has the healthcare provider type.

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1174559298 NPI number is provided on an as is basis without warranty of any kind. 1174559298 is maintained by the National Plan & Provider Enumeration System. The contents of Southern Maryland Oral & Maxillofacial Surgery are for informational purposes only.