Integrative Oral & Facial Surgery, P.a. | |
1 Bank St Suite 240 Gaithersburg MD 20878-1504 | |
(301) 926-4800 | |
(301) 926-4899 |
Full Name | Integrative Oral & Facial Surgery, P.a. |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1 Bank St, Gaithersburg, Maryland |
Authorized Official Name and Position | Jay S Nokkeo (PRESIDENT) |
Authorized Official Contact | 3019264800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Integrative Oral & Facial Surgery, P.a. 1 Bank St Suite 240 Gaithersburg MD 20878-1504 Ph: (301) 926-4800 | Integrative Oral & Facial Surgery, P.a. 1 Bank St Suite 240 Gaithersburg MD 20878-1504 Ph: (301) 926-4800 |
NPI Number | 1205150935 |
---|---|
Provider Enumeration Date | 03/24/2010 |
Last Update Date | 02/25/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205150935 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 13271 (Maryland) | Primary |
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